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Individual

JOSE M AZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
635 BARNHILL DR, INDIANAPOLIS, IN 46202-5126
(317) 948-4150
(317) 944-2181
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01062606A
IA
207RH0003X
Hematology & Oncology Physician
Primary
01062606A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01062606A
PHYSICIAN LICENSE
IN
01
01062606B
CSR
IN
Enumeration date
09/28/2006
Last updated
11/20/2020
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