Azar, Rena A

Azar, Rena A is an individual health care provider with primary practice located at 325 S Cedar Ave Ste 2 , South Pittsburg TN 37380-1322. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Azar, Rena A can be contacted via phone (423) 837-5801.

Contact Information

Primary practice address
325 S Cedar Ave Ste 2 South Pittsburg TN 37380-1322
Phone: (423) 837-5801
Fax: (423) 837-5807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 30628 Tennessee
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X MD0000030628 Tennessee

Profile Details

NPI number 1760537484
LBN Legal business name Azar, Rena A
Credentials MD PC FPMRS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760537484 NPPES
Alabama Other 891-08307 BCBS AL PROV #
Alabama Other 62-1818059 BCBS AL PROV #
Alabama Other 3149771 BCBS AL PROV #

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