Individual
TAMMAM ABDUL-AZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-7000
(419) 697-7726
Mailing address
14629 PRAIRIE LAKE DR, PERRYSBURG, OH 43551
(419) 690-8698
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35082201
OH
207L00000X
Anesthesiology Physician
4301082970
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000300038
ANTHEM
OH
01
—
00000049260
ANTHEM
OH
01
—
04097
PARAMOUNT
OH
05
—
2659341
—
OH
01
—
341881145-002
MMO
OH
05
—
5182120
—
MI
01
—
7531873
AETNA
OH
01
—
P00389819
RRMC
OH
Enumeration date
08/22/2005
Last updated
03/27/2021
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