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Individual

DR. ABUL K AZAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2125 RIVER ROAD, SUITE 203, SCHENECTADY, NY 12309
(518) 831-8530
(518) 831-8545
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
204594
NY
207R00000X
Internal Medicine Physician
204594
NY
207RP1001X
Pulmonary Disease Physician
Primary
204594
NY
208M00000X
Hospitalist Physician
204594
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000471066006
BSNENY
NY
05
01759833
NY
01
090226000061
FIDELIS
NY
01
10020530
CDPHP
NY
01
135032
GHI/HMO
NY
01
200852
SENIOR WHOLE HEALTH
NY
01
28R331
EMPIRE BC
NY
01
6022794
MVP HEALTHCARE
NY
01
7542070
AETNA
NY
Enumeration date
12/19/2006
Last updated
05/06/2021
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