Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 99999999999999999999 | NY |
NPI | 1073604245 |
---|---|
Provider Name | Dr. Zeba Aziz |
First Address | Decatur, GA 30030-2543 |
Second Address | Decatur, GA 30030-2543 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 08/07/2007 |