Individual
DR. HOSAN M AZOMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
313 ARNOLD AVE, SUITE A, GREENVILLE, MS 38701-4712
(662) 334-9915
(662) 334-9740
Mailing address
P O BOX 1735, GREENVILLE, MS 38702-1735
(662) 334-9915
(662) 334-9740
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18728
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02933236
—
MS
Enumeration date
10/31/2005
Last updated
07/08/2007
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