Individual
DR. NIDA AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11143 PARKVIEW PLAZA DR STE 207, FORT WAYNE, IN 46845
(260) 266-5370
(260) 266-5379
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34.013233
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
02005620
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
34.013233
OH
Other
Enumeration date
05/07/2013
Last updated
10/12/2022
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