Individual
BUSHRA I AL-AZZAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6830 HOSPITAL DR, SUITE 204, BALTIMORE, MD 21237-4373
(443) 559-5082
(443) 559-5078
Mailing address
6830 HOSPITAL DR, SUITE 204, BALTIMORE, MD 21237-4373
(443) 559-5082
(443) 559-5078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0061485
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345BBU
CAREFIRST BCBS MD
MD
01
—
3676417
AETNA HMO
MD
05
—
406046600
—
MD
01
—
7676676
AETNA PPO
MD
01
—
8133103
MD-IPA/OCI/MAMSI/ALLIANCE
MD
01
—
9858660
CIGNA
MD
01
—
K1510001
CAREFIRST BCBS DC
DC
Enumeration date
06/03/2006
Last updated
02/22/2012
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