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Individual

AZIM SAQUIB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1160 MALL DR, LAS CRUCES, NM 88011-8128
(575) 521-3270
Mailing address
PO BOX 6310, LAS CRUCES, NM 88006-6310
(575) 521-3270

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036114868
IL
207RC0000X
Cardiovascular Disease Physician
Primary
MD2013-0055
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010032057
BCBS OF IL
IL
05
0361148682
IL
Enumeration date
01/09/2006
Last updated
09/11/2013
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