Azam, Asif
Azam, Asif is an individual health care provider with primary practice located at 9981 S Healthpark Dr , Fort Myers FL 33908-3618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Azam, Asif can be contacted via phone (239) 343-2052.Contact Information
Primary practice address
9981 S Healthpark Dr
Fort Myers FL 33908-3618
Phone: (239) 343-2052
Fax: (239) 343-5348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME108737 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME108737 | Florida |
Profile Details
| NPI number | 1770725947 |
|---|---|
| LBN Legal business name | Azam, Asif |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2009 |
| Last updated | Mar 24th, 2021 - 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 | 1770725947 | NPPES |
| Florida | MEDICAID | 003177800 |
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