Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 204594 | NY |
N | 207R00000X | Internist | 204594 | NY |
N | 111NI0900X | Internist | 204594 | NY |
Y | 207RP1001X | Pulmonary Disease | 204594 | NY |
NPI | 1003979121 |
---|---|
Provider Name | Dr. Abul K Azad |
First Address | Latham, NY 12110-2461 |
Second Address | Schenectady, NY 12309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 06/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000471066006 | BSNENY (01) | NY |
01759833 | (05) | NY |
090226000061 | FIDELIS (01) | NY |
10020530 | CDPHP (01) | NY |
135032 | GHI/HMO (01) | NY |
200852 | SENIOR WHOLE HEALTH (01) | NY |
28R331 | EMPIRE BC (01) | NY |
6022794 | MVP HEALTHCARE (01) | NY |
7542070 | AETNA (01) | NY |
F84835 | (02) |