Azam, Syed Farooq

Azam, Syed Farooq is an sole proprietor health care provider with primary practice located at 35400 Bob Hope Dr Suite 210, Rancho Mirage CA 92270-1772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Azam, Syed Farooq can be contacted via phone (760) 202-0686.

Contact Information

Primary practice address
35400 Bob Hope Dr Suite 210 Rancho Mirage CA 92270-1772
Phone: (760) 202-0686
Fax: (760) 770-4563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A67791 California

Profile Details

NPI number 1811993454
LBN Legal business name Azam, Syed Farooq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Nov 30th, 2021 - about 3 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 1811993454 NPPES
California MEDICAID 00A677910

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