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Individual

AZFAR KHAN NIAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1505 EASTLAND DR STE 330, BLOOMINGTON, IL 61701-7912
(309) 662-3311
(309) 662-9709
Mailing address
1505 EASTLAND DR STE 330, BLOOMINGTON, IL 61701-7912
(309) 662-3311
(309) 662-9709

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036171898
IL
207R00000X
Internal Medicine Physician
D0100147
MD
208M00000X
Hospitalist Physician
036171898
IL
208M00000X
Hospitalist Physician
D0100147
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UPIN
N/A
05
UPIN
MD
Enumeration date
06/21/2021
Last updated
07/08/2025
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