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Individual

MOHAMMAD F. AZIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J3398
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045236902
TX
01
7492012
AETNA
TX
01
87574Z
HMO BLUE
TX
01
8F6720
BCBS
TX
Enumeration date
09/02/2005
Last updated
12/11/2019
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