MEDICARE: SYED EJAZ NAQVI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A44398	CA
2	208VP0000X	Pain Medicine Physician	A44398	CA

General Provider Information

NPI Number	:	1073692117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED EJAZ NAQVI MD

Provider Business Mailing Address
First Line	:	PO BOX 22210
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94623-2210
Country	:	US
Telephone Number	:	510-535-4000
Fax Number	:	510-535-4189

Provider Business Practice Location Address
First Line	:	2000 SIERRA ROAD
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94518-2905
Country	:	US
Telephone Number	:	925-363-2000
Fax Number	:	925-363-2006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	12/10/2025

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