Individual
JENNA AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(240) 461-1698
Mailing address
8610 BURNING TREE RD, BETHESDA, MD 20817-2944
(240) 461-1698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
57.253083
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2021
Last updated
01/07/2024
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