Individual
DR. ANTHONY AZAKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8333 NAAB RD STE 320, INDIANAPOLIS, IN 46260
(317) 338-3000
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A51758
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01080718A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
P8115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A5175800
—
CA
05
—
330057601 TRAD
—
TX
05
—
330057602 CSN
—
TX
01
—
8DZ976
BCBS
TX
Enumeration date
04/28/2006
Last updated
07/02/2018
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