Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 66902 | MN |
N | 111NI0900X | Internist | 66902 | MN |
Y | 207RG0100X | Gastroenterologist | 66902 | MN |
NPI | 1033729629 |
---|---|
Provider Name | Mr. Hassan Azhari |
First Address | Rochester, MN 55905 |
Second Address | Rochester, MN 55905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2020 |
Last Update Date | 02/09/2021 |