Azzam, Khalid

Azzam, Khalid is an individual health care provider with primary practice located at 435 Phalen Blvd , Saint Paul MN 55130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Azzam, Khalid can be contacted via phone (651) 254-8379.

Contact Information

Primary practice address
435 Phalen Blvd Saint Paul MN 55130
Phone: (651) 254-8379
Fax: (651) 254-8300
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01075391A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 6172 Nebraska
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 65384 Minnesota

Profile Details

NPI number 1811128416
LBN Legal business name Azzam, Khalid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2009
Last updated Oct 21st, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811128416 NPPES
Indiana MEDICAID 201319820

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