Azimov, Paul
Azimov, Paul is an individual health care provider with primary practice located at 3640 Main St Ste 102 , Springfield MA 01107-1139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Azimov, Paul can be contacted via phone (413) 224-6420.Contact Information
Primary practice address
3640 Main St Ste 102
Springfield MA 01107-1139
Phone: (413) 224-6420
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 223908 | Massachusetts |
Profile Details
NPI number | 1447207139 |
---|---|
LBN Legal business name | Azimov, Paul |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 28th, 2006 |
Last updated | Nov 30th, 2021 - about 3 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 | 1447207139 | NPPES |
Massachusetts | MEDICAID | 2107961 |
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