Chizari, Azam

Chizari, Azam is an individual health care provider with primary practice located at 1610 Washington Blvd , Kansas City KS 66102-2842. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Chizari, Azam can be contacted via phone (913) 281-2605.

Contact Information

Primary practice address
1610 Washington Blvd Kansas City KS 66102-2842
Fax: (913) 281-0087
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2001000435 Missouri

Profile Details

NPI number 1316906803
LBN Legal business name Chizari, Azam
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Dec 10th, 2020 - about 4 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 1316906803 NPPES
Missouri MEDICAID 427626007

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