Khawaja, Azimuddin Tareq
Khawaja, Azimuddin Tareq is an individual health care provider with primary practice located at 13460 N 94Th Dr Ste J1 , Peoria AZ 85381-4246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Khawaja, Azimuddin Tareq can be contacted via phone (623) 876-8816.Contact Information
Primary practice address
13460 N 94Th Dr Ste J1
Peoria AZ 85381-4246
Phone: (623) 876-8816
Fax: (623) 298-0168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 33750 | Arizona |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 33750 | Arizona |
Profile Details
| NPI number | 1376592071 |
|---|---|
| LBN Legal business name | Khawaja, Azimuddin Tareq |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | May 15th, 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 | 1376592071 | NPPES |
| Arizona | Other | Z201349 | MEDICARE PIN - CARDIAC SOLUTIONS |
| Arizona | MEDICAID | 956758 | MEDICARE PIN - CARDIAC SOLUTIONS |
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13460 N 94Th Dr Ste J1 , Peoria AZ 85381-4246