Individual
ASMA AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 NEWPORTE BLVD., LA PORTE, IN 46350
(219) 326-1775
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-4004
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01085721A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301115994
MI
Other
Enumeration date
07/09/2018
Last updated
11/04/2021
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