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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447207139 NPPES
Massachusetts MEDICAID 2107961

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