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Individual

DR. ALISHERHON AZAMOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4653 CARMEL MOUNTAIN RD STE 308-201, SAN DIEGO, CA 92130-6650
(619) 955-8494
(619) 243-7317
Mailing address
7514 GIRARD AVE STE 1124, LA JOLLA, CA 92037-5149
(619) 955-8494
(619) 243-7317

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
CA761110
CA
246Z00000X
Other Specialist/Technologist

Other

Enumeration date
11/28/2006
Last updated
01/27/2022
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