Adhal, Azzam A

Adhal, Azzam A is an sole proprietor health care provider with primary practice located at 2195 Jenks Ave Ste B, Panama City FL 32405-4551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adhal, Azzam A can be contacted via phone (850) 784-6696.

Contact Information

Primary practice address
2195 Jenks Ave Ste B Panama City FL 32405-4551
Phone: (850) 784-6696
Fax: (850) 785-2100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME39261 Florida

Profile Details

NPI number 1295714129
LBN Legal business name Adhal, Azzam A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2006
Last updated Nov 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295714129 NPPES
Florida MEDICAID 066935100
Florida Other 0080N
Florida Other 1518360288

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