Individual
DR. KAMRAN JUSTIN AZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
954 S ORLANDO AVE STE 100, WINTER PARK, FL 32789-4849
(407) 848-3400
(407) 602-0901
Mailing address
8469 NEMOURS PKWY, ORLANDO, FL 32827-7753
(914) 806-0653
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A128991
CA
208200000X
Plastic Surgery Physician
Primary
ME135792
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
390200000X
NY
Other
Enumeration date
07/17/2011
Last updated
01/04/2023
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