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Individual

DR. ADEL AZIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7052
(216) 476-7055
Mailing address
31308 NARRAGANSETT LN, BAY VILLAGE, OH 44140-1066
(216) 473-7052
(216) 476-7055

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35053527
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000126624
ANTHEM PROVIDER NUMBER
OH
05
0655054
OH
Enumeration date
06/23/2006
Last updated
07/08/2007
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