Individual
KHISLAT AZIZOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
163 LAUREL DR, HERSHEY, PA 17033-2674
(917) 755-1893
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN659034
PA
367500000X
Certified Registered Nurse Anesthetist
RN659034
PA
Other
Enumeration date
07/31/2023
Last updated
08/27/2025
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