Individual
BORZOU AZIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
378 MARKETPLACE DR, JOHNSON CITY, TN 37604-2361
(423) 282-0751
(423) 282-1577
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101249972
VA
207P00000X
Emergency Medicine Physician
Primary
024175
TN
207P00000X
Emergency Medicine Physician
58829
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177450
BCBS OF TN
TN
05
—
3076253
—
TN
05
—
64915879
—
KY
Enumeration date
05/31/2006
Last updated
06/05/2025
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