Al Azem, Mohammed Ali
Al Azem, Mohammed Ali is an sole proprietor health care provider with primary practice located at 3747 Roswell Rd Ste 215 , Marietta GA 30062-6228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Al Azem, Mohammed Ali can be contacted via phone (770) 422-1372.Contact Information
Primary practice address
3747 Roswell Rd Ste 215
Marietta GA 30062-6228
Phone: (770) 422-1372
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 41254 | Georgia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 41254 | Georgia |
Profile Details
| NPI number | 1174612477 |
|---|---|
| LBN Legal business name | Al Azem, Mohammed Ali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Aug 27th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174612477 | NPPES |
| Georgia | MEDICAID | 000788444C |
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