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Individual

AMJAD NASR ANAIZI

Active
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Individual

AMJAD NASR ANAIZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
D0076394
MD
207T00000X
Neurological Surgery Physician
Primary
MD040139
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084050700
DC
05
555304100
MD
Enumeration date
10/08/2008
Last updated
04/10/2014
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