Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MT194205 | PA |
N | 208600000X | Surgeon | MT194205 | PA |
Y | 2086S0129X | Vascular Surgeon | MD455484 | LA |
NPI | 1043449085 |
---|---|
Provider Name | Muzammil Aziz |
First Address | Shreveport, LA 71103-4228 |
Second Address | Shreveport, LA 71103-4228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 27/04/2018 |