Ali, Omar Azam

Ali, Omar Azam is an individual health care provider with primary practice located at 14 Research Pl , N Chelmsford MA 01863-2412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Ali, Omar Azam can be contacted via phone (978) 256-6607.

Contact Information

Primary practice address
14 Research Pl N Chelmsford MA 01863-2412
Phone: (978) 256-6607
Fax: (978) 250-8189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 155255 Massachusetts
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 155255 Massachusetts

Profile Details

NPI number 1881634848
LBN Legal business name Ali, Omar Azam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 31st, 2019 - about 5 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 1881634848 NPPES
Massachusetts MEDICAID 2072670

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