Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35080780 | OH |
NPI | 1104867357 |
---|---|
Provider Name | Nami R. Azar |
First Address | Euclid, OH 44117 |
Second Address | Cleveland, OH 44106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 16/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000210513 | UNISON (01) | OH |
000000503610 | ANTHEM (01) | OH |
0065788 | AETNA (01) | OH |
1025642210001 | (05) | PA |
1104867357 | (05) | MI |
210513 | UNISON (01) | OH |
2328976 | (05) | OH |
363331 | WELLCARE (01) | OH |
737767 | BUCKEYE (01) | OH |
7890363 | AETNA (01) | OH |
H62181 | (02) | OH |
P00358775 | RAILROAD MEDICARE (01) | OH |