Azem, Jamal M
Azem, Jamal M is an individual health care provider with primary practice located at 36100 Euclid Ave Suite 330A, Willoughby OH 44094-4456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Azem, Jamal M can be contacted via phone (440) 269-8020.Contact Information
Primary practice address
36100 Euclid Ave Suite 330A
Willoughby OH 44094-4456
Phone: (440) 269-8020
Fax: (440) 269-1646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 35059071A | Ohio |
Profile Details
| NPI number | 1518061811 |
|---|---|
| LBN Legal business name | Azem, Jamal M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | May 1st, 2013 - about 12 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 | 1518061811 | NPPES |
| Ohio | MEDICAID | 0798963 |
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