Individual
HAYA JAMAL AZOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 NW BARRY RD, KANSAS CITY, MO 64155-2732
(816) 413-2500
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-51386
KS
208000000X
Pediatrics Physician
2022023930
MO
2080P0205X
Pediatric Endocrinology Physician
04-51386
KS
2080P0205X
Pediatric Endocrinology Physician
Primary
2022023930
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4351045082
—
MI
Enumeration date
05/24/2019
Last updated
12/02/2025
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