Individual
GOHAR AZHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
152814
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
E-3515
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03020016700
QUALCHOICE
AR
05
—
149039001
—
AR
01
—
380001926
RAILROAD MEDICARE
AR
01
—
5M440
BCBS
AR
01
—
E3515
TRICARE
AR
Enumeration date
06/02/2006
Last updated
09/03/2009
Update your record
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