Individual
DR. BASIT AZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
919 W MAIN ST, L5, HENDERSONVILLE, TN 37075-2832
(615) 264-0063
(615) 264-0035
Mailing address
919 W MAIN ST, L5, HENDERSONVILLE, TN 37075-2832
(615) 264-0063
(615) 264-0035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11859
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201297280
TAX ID
TN
05
—
3891618
—
TN
Enumeration date
11/02/2006
Last updated
06/30/2008
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