Individual
DR. RICHARD GEORGE AZIZKHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVE, ML3018, CINCINNATI, OH 45229-3026
(513) 636-4576
Mailing address
3333 BURNET AVE, ML3018, CINCINNATI, OH 45229-3026
(513) 636-4576
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01062158A
IN
2086S0102X
Surgical Critical Care Physician
01062158A
IN
2086S0120X
Pediatric Surgery Physician
Primary
01062158A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098840
—
OH
Enumeration date
05/12/2006
Last updated
10/15/2012
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