Azzam, Fouad George
Azzam, Fouad George is an sole proprietor health care provider with primary practice located at 7101 Northland Cir N Suite 209, Brooklyn Park MN 55428-1517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Azzam, Fouad George can be contacted via phone (763) 531-2030.Contact Information
Primary practice address
7101 Northland Cir N Suite 209
Brooklyn Park MN 55428-1517
Phone: (763) 531-2030
Fax: (763) 531-2099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 20093 | Minnesota |
Profile Details
| NPI number | 1033185830 |
|---|---|
| LBN Legal business name | Azzam, Fouad George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Feb 3rd, 2010 - about 15 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 | 1033185830 | NPPES |
| Minnesota | MEDICAID | 067568700 |
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