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Individual
DR. ABDOL AZARAN
Active
Individual
DR. ABDOL AZARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036058380
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058380
—
IL
01
—
324853
MEDICARE GROUP
IL
01
—
CE0254
RAILROAD MEDICARE GROUP
IL
01
—
P00760044
RR MEDICARE
IL
Enumeration date
07/28/2005
Last updated
12/04/2014
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