Azem, Khalil

Azem, Khalil is an sole proprietor health care provider with primary practice located at 36100 Euclid Ave Ste 350, Willoughby OH 44094-4456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Azem, Khalil can be contacted via phone (440) 942-9308.

Contact Information

Primary practice address
36100 Euclid Ave Ste 350 Willoughby OH 44094-4456
Phone: (440) 942-9308
Fax: (440) 942-8981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 054514 Ohio

Profile Details

NPI number 1508859497
LBN Legal business name Azem, Khalil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2005
Last updated Oct 4th, 2010 - about 15 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 1508859497 NPPES
Ohio Other 000000131755 BLUE CROSS BLUE SHIELD
Ohio MEDICAID 0652575 BLUE CROSS BLUE SHIELD

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