Individual
DR. MOHAMMAD RAIHAN AZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1006 WH SMITH BLVD., PHYSICIANS EAST - ENDOCRINOLOGY, GREENVILLE, NC 27834
(252) 413-6683
Mailing address
3202 GREY FOX TRAIL, GREENVILLE, NC 27858
(917) 660-9636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2017-01167
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2017-01167
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126/RGH
—
NY
05
—
03007063/NWK
—
NY
Enumeration date
08/29/2012
Last updated
07/21/2022
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