Azima, Borzou

Azima, Borzou is an individual health care provider with primary practice located at 378 Marketplace Dr , Johnson City TN 37604-2361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Azima, Borzou can be contacted via phone (423) 282-0751.

Contact Information

Primary practice address
378 Marketplace Dr Johnson City TN 37604-2361
Fax: (423) 282-1577
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101249972 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 024175 Tennessee

Profile Details

NPI number 1447297692
LBN Legal business name Azima, Borzou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Mar 17th, 2018 - about 7 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 1447297692 NPPES
Tennessee MEDICAID 3076253
Tennessee Other 0177450

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