Individual
DR. GHOBAD AZIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 MILITARY CUTOFF RD STE 200, WILMINGTON, NC 28405-4318
(910) 254-9464
(910) 254-3474
Mailing address
PO BOX 3788, WILMINGTON, NC 28406-0788
(910) 254-9464
(910) 254-3474
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
200000712
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126WM
BLUE CROSS BLUE SHIELD
NC
05
—
89126WM
—
NC
Enumeration date
06/14/2006
Last updated
10/09/2024
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