Azem, Haitham M

Azem, Haitham M is an individual health care provider with primary practice located at 88 Center Rd Ste 130 , Bedford OH 44146-2708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Azem, Haitham M can be contacted via phone (440) 232-4455.

Contact Information

Primary practice address
88 Center Rd Ste 130 Bedford OH 44146-2708
Fax: (440) 232-3147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35056391 Ohio

Profile Details

NPI number 1417967118
LBN Legal business name Azem, Haitham M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Dec 29th, 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 1417967118 NPPES
Ohio MEDICAID 0726021

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