Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 31294 | AZ |
NPI | 1023059508 |
---|---|
Provider Name | Aleix M. Bazzi |
First Address | Yuma, AZ 85364 |
Second Address | Yuma, AZ 85364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 26/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7157517 | AETNA (01) | AZ |
795940 | (05) | AZ |
AW6552 | HEALTH NET (01) | AZ |
AZ0736450 | BLUE CROSS BLUE SHIELD (01) | AZ |
H10342 | (02) | AZ |
P00031081 | RAIL ROAD MEDICARE (01) | AZ |