Individual
AZIN AZMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP01305
RI
2084N0400X
Neurology Physician
Primary
14720
NV
2084N0600X
Clinical Neurophysiology Physician
14720
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100534077
—
NV
01
—
12561707
CAQH
NV
01
—
CS21076
NEVADA STATE BOARD OF PHARMACY - CONTROLLED SUBSTANCE (CS)
NV
Enumeration date
06/10/2008
Last updated
03/07/2023
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