Imad M. Aziz
Family Doctor
2825 Prairie Ave
Beloit
, Wisconsin 53511-1844
Imad M. Aziz
Family Doctor
2825 Prairie Ave
Beloit
, Wisconsin 53511-1844
(608) 363-5539
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Imad M. Aziz
- 2825 Prairie Ave
- Beloit, WI
- Zip : 53511-1844
- Fax : (608) 363-5539
- Phone : (608) 363-5500
Second Address
- Imad M. Aziz
- 2825 Prairie Ave
- Beloit, WI
- Zip : 53511-1844
- Fax : (608) 363-5539
- Phone : (608) 363-5500
Reviews
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Is Imad M. Aziz a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 66349-20 | WI |
National Provider Identifier
| NPI | 1003256975 |
|---|---|
| Provider Name | Imad M. Aziz |
| First Address | Beloit, WI 53511-1844 |
| Second Address | Beloit, WI 53511-1844 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2013 |
| Last Update Date | 24/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003256975 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.