Individual
JAWAD NAZIR AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3855 BROAD ST STE B, SAN LUIS OBISPO, CA 93401-7109
(805) 545-8100
(805) 548-8785
Mailing address
3855 BROAD ST STE B, SAN LUIS OBISPO, CA 93401-7109
(805) 545-7881
(805) 548-8785
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A177942
CA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
A177942
CA
207WX0120X
Cornea and External Diseases Specialist Physician
177942
CA
Other
Enumeration date
04/11/2018
Last updated
09/20/2023
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