Individual
AZRA NIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15421 CLAYTON RD STE 202, BALLWIN, MO 63011-3161
(419) 383-4480
Mailing address
3000 ARLINGTON AVE # MS 1150, TOLEDO, OH 43614-2595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351028169
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2023035704
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992155105
—
MI
Enumeration date
06/18/2016
Last updated
12/20/2023
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