# BASSEM AZKUL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487831376
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13613 | NH | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 13613 | NH | — |
| 208M00000X | Hospitalist Physician | 13613 | NH | — |

## Other

- **Enumeration date:** 01/23/2008
- **Last updated:** 05/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30207456 | — | NH |
