Individual
DR. AZRIEL AVEZBADALOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 434-6433
Mailing address
7850 LAGO DEL MAR DR APT 116, BOCA RATON, FL 33433-4984
(646) 671-9252
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
02005736A
IN
207RC0000X
Cardiovascular Disease Physician
267039
NY
207RC0000X
Cardiovascular Disease Physician
34.016578
OH
207RC0000X
Cardiovascular Disease Physician
OS13717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018825600
—
FL
01
—
260690286
MEDICARE
IN
05
—
300029932
—
IN
01
—
PENDING
MEDICARE
FL
Enumeration date
04/13/2011
Last updated
01/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us