Individual
DR. AHMED ABDEL AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1403 STRONG AVE, GREENWOOD, MS 38930-4035
(662) 459-2676
Mailing address
PO BOX 1410, ATTN: CLINIC ADMINISTRATION, GREENWOOD, MS 38935-1410
(662) 459-7189
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
16284
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09922811
—
MS
01
—
P00219704
MEDICARE RAILROAD
MS
Enumeration date
03/23/2006
Last updated
04/09/2012
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