Azaz, Mohammed R
Azaz, Mohammed R is an sole proprietor health care provider with primary practice located at 6277 Jericho Tpke , Commack NY 11725-2837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Azaz, Mohammed R can be contacted via phone (631) 462-6644.Contact Information
Primary practice address
6277 Jericho Tpke
Commack NY 11725-2837
Phone: (631) 462-6644
Fax: (631) 462-9890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 220310 | New York |
Profile Details
| NPI number | 1356331763 |
|---|---|
| LBN Legal business name | Azaz, Mohammed R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Feb 24th, 2022 - about 2 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 | 1356331763 | NPPES |
| New York | MEDICAID | 02131226 |
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