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
Phone: (423) 282-0751
Fax: (423) 282-1577
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447297692 | NPPES |
Tennessee | MEDICAID | 3076253 | |
Tennessee | Other | 0177450 |
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