Individual
IBRAHIM AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44405 WOODWARD AVENUE, SUITE 202, PONTIAC, MI 48341-5023
(248) 858-2270
(248) 335-6171
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
4301506476
MI
207RX0202X
Medical Oncology Physician
Primary
4301506476
MI
390200000X
Student in an Organized Health Care Education/Training Program
63686
NY
Other
Enumeration date
06/21/2016
Last updated
12/24/2024
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