Individual
DR. AZITA G HAMEDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 262-2398
Mailing address
350 S HAMILTON ST UNIT 501, MADISON, WI 53703-4186
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49064
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468722
TUFTS HEALTH PLAN
MA
01
—
J27115
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
03/13/2025
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