Azar, Frederick M

Azar, Frederick M is an individual health care provider with primary practice located at 1400 S Germantown Rd , Germantown TN 38138-2205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Azar, Frederick M can be contacted via phone (901) 759-3100.

Contact Information

Primary practice address
1400 S Germantown Rd Germantown TN 38138-2205
Phone: (901) 759-3100
Fax: (901) 759-3196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 13114 Mississippi
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 27005 Tennessee

Profile Details

NPI number 1821084633
LBN Legal business name Azar, Frederick M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jan 25th, 2023 - about last year

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 1821084633 NPPES
Arkansas MEDICAID 145241001
Arkansas MEDICAID 3093679
Arkansas MEDICAID 00122680

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