Azizi, Mohammad D

Azizi, Mohammad D is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Azizi, Mohammad D can be contacted via phone (770) 277-3056.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30046-0000
Phone: (770) 277-3056
Fax: (855) 204-5244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 028137 Georgia

Profile Details

NPI number 1336186410
LBN Legal business name Azizi, Mohammad D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Apr 2nd, 2014 - about 10 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 1336186410 NPPES
Georgia MEDICAID 00361864A
Georgia MEDICAID 000361864B

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