Azzam, Michael Gabriel

Azzam, Michael Gabriel is an individual health care provider with primary practice located at 5200 W 94Th Ter Ste 113 , Prairie Village KS 66207-2522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Azzam, Michael Gabriel can be contacted via phone (913) 906-8640.

Contact Information

Primary practice address
5200 W 94Th Ter Ste 113 Prairie Village KS 66207-2522
Phone: (913) 906-8640
Fax: (913) 906-8682
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2016016714 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 04-41486 Kansas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2016016714 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 04-41486 Kansas

Profile Details

NPI number 1215258736
LBN Legal business name Azzam, Michael Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2010
Last updated Jun 18th, 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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