Azzam, Raed
Azzam, Raed is an individual health care provider with primary practice located at 4125 Medina Rd Ste 201 , Akron OH 44333-4514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Azzam, Raed can be contacted via phone (216) 445-0601.Contact Information
Primary practice address
4125 Medina Rd Ste 201
Akron OH 44333-4514
Phone: (216) 445-0601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35-098629 | Ohio |
Profile Details
| NPI number | 1871743955 |
|---|---|
| LBN Legal business name | Azzam, Raed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2008 |
| Last updated | Nov 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871743955 | NPPES |
| Ohio | MEDICAID | 0103704 | |
| Ohio | Other | 9338635 | |
| Ohio | Other | 1841239274 | |
| Ohio | Other | 2551671 |
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