Azouz, Samer
Azouz, Samer is an individual health care provider with primary practice located at 12502 Willowbrook Rd , Cumberland MD 21502-6491. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Azouz, Samer can be contacted via phone (240) 964-8740.Contact Information
Primary practice address
12502 Willowbrook Rd
Cumberland MD 21502-6491
Phone: (240) 964-8740
Fax: (240) 964-8741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35-092822 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD070611L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | D89839 | Maryland |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD070611L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 35-092822 | Ohio |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | MD070611L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 35-092822 | Ohio |
Profile Details
| NPI number | 1275532129 |
|---|---|
| LBN Legal business name | Azouz, Samer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Sep 30th, 2020 - about 5 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 | 1275532129 | NPPES |
| West Virginia | MEDICAID | 1810446000 | |
| West Virginia | MEDICAID | 2445152 | |
| West Virginia | MEDICAID | 0017979970001 |
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