Azarov, Nick

Azarov, Nick is an individual health care provider with primary practice located at 400 Rosalind Redfern Grover Pkwy , Midland TX 79701-5846. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Azarov, Nick can be contacted via phone (432) 221-1111.

Contact Information

Primary practice address
400 Rosalind Redfern Grover Pkwy Midland TX 79701-5846
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M7838 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X M7838 Texas

Profile Details

NPI number 1093937948
LBN Legal business name Azarov, Nick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Sep 22nd, 2020 - 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 1093937948 NPPES
Texas MEDICAID 194906704
Texas Other 8L6420

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