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
Phone: (913) 281-2605
Fax: (913) 281-0087
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316906803 | NPPES |
Missouri | MEDICAID | 427626007 |
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