Individual
KHADIJA AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2428 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2045
(310) 315-1000
Mailing address
2701 BAY SHORE DR, SEABROOK, TX 77586-1692
(281) 336-0224
(281) 336-0224
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C53035
CA
2085R0202X
Diagnostic Radiology Physician
N4268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336186097
—
CA
05
—
64072721
—
KY
Enumeration date
06/01/2006
Last updated
12/16/2022
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