Hossam Azzazy, MD | |
975 E 3rd St, Chattanooga, TN 37403-2103 | |
(423) 778-7255 | |
Not Available |
Full Name | Hossam Azzazy |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 975 E 3rd St, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1962622555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 41629 (Tennessee) | Primary |
Entity Name | St Alphonsus Professional Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184 |
Mailing Address | Practice Location Address |
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Hossam Azzazy, MD 12008 Broadwood Dr, Knoxville, TN 37934-6702 Ph: () - | Hossam Azzazy, MD 975 E 3rd St, Chattanooga, TN 37403-2103 Ph: (423) 778-7255 |
Abubaker A Elshaikh, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-7000 | |
Dr. Summer Lee Bohman, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 615-695-4977 | |
Imelda S Bulatao, MD Pathology Medicare: Medicare Enrolled Practice Location: 2525 Desales Ave, Pathology Laboratory, Chattanooga, TN 37404 Phone: 423-495-8703 Fax: 423-495-6175 | |
Eric D Schubert, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2525 Desales Avenue, Pathology Laboratory, Chattanooga, TN 37404 Phone: 423-495-8703 Fax: 423-495-6175 | |
John T Bickel, MD Pathology Medicare: Medicare Enrolled Practice Location: 2525 Desales Avenue, Pathology Laboratory, Chattanooga, TN 37404 Phone: 423-495-8703 Fax: 423-495-6175 | |
Gary R Lanham, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2333 Mccallie Ave, Chattanooga, TN 37404 Phone: 423-493-1550 | |
Ronald W Oxenhandler, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2525 Desales Ave, Pathology Laboratory, Chattanooga, TN 37404 Phone: 423-495-8703 Fax: 423-495-6175 |