Niaz, Azra

Niaz, Azra is an individual health care provider with primary practice located at 15421 Clayton Rd Ste 202 , Ballwin MO 63011-3161. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Niaz, Azra can be contacted via phone (419) 383-4480.

Contact Information

Primary practice address
15421 Clayton Rd Ste 202 Ballwin MO 63011-3161
Phone: (419) 383-4480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4351028169 Michigan
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 2023035704 Missouri

Profile Details

NPI number 1992155105
LBN Legal business name Niaz, Azra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2016
Last updated Dec 20th, 2023 - about 2 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 1992155105 NPPES
Michigan MEDICAID 1992155105

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