Individual
GHULAM RABBANI AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16218 SAINT CLAIR AVE, EAST LIVERPOOL, OH 43920-9449
(330) 382-9355
(330) 382-9448
Mailing address
16218 SAINT CLAIR AVE, EAST LIVERPOOL, OH 43920-9449
(330) 382-9355
(330) 382-9448
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OH35079747A
OH
207RP1001X
Pulmonary Disease Physician
Primary
OH37079747A
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
OH35-07-9747A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000218659
ANTHEM BCBS
—
01
—
1408622
HIGHMARK BCBS
—
05
—
1807927000
—
WV
05
—
2254984
—
OH
01
—
4348701
CIGNA
—
01
—
5246690
AETNA
—
01
—
753020102
FLORA HEATLH NETWORK/PPOM
—
01
—
753020102001
MOUNTAIN STATE BCBS
—
01
—
90768
NATIONWIDE HEALTH PLAN
—
01
—
P79747A
MOUNTAIN HEALT TRUST
OH
Enumeration date
08/02/2005
Last updated
04/03/2020
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