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Individual

DR. ALI AZADI

Active
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Individual

DR. ALI AZADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
36152
AZ
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
38152
AZ
207VG0400X
Gynecology Physician
38152
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000610828
ANTHEM
KY
01
000000610873
ANTHEM
KY
01
000000859185
ANTHEM-WS
KY
01
0722553
MEDICARE - FOUNDATION
KY
01
158647
SIHO-WS
KY
05
200943770
IN
05
335673
AZ
01
3726870000
PASSPORT ADVANTAGE SPECIALITY
KY
01
3726874000
PASSPORT ADVANTAGE PCP
KY
01
3726876000
PASSPORT ADVANTAGE
KY
01
50024900
PASSPORT SPECIALITY
KY
01
50024904
PASSPORT PCP
KY
01
50024906
PASSPORT SPECIALITY
KY
01
50069587
PASSPORT-WS
KY
05
7100074140
KY
01
9393153
AETNA
KY
Enumeration date
04/17/2007
Last updated
08/08/2022
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