| Azzam Medical Services Llc | |
|
2052 Blackridge Rd Hoover AL 35244-5243 | |
| (205) 425-5241 | |
| (205) 426-6262 |
| Full Name | Azzam Medical Services Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 2052 Blackridge Rd, Hoover, Alabama |
| Authorized Official Name and Position | Mohannad Fadl Azzam (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3344142936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azzam Medical Services Llc Po Box 361585 Birmingham AL 35236-1585 Ph: () - | Azzam Medical Services Llc 2052 Blackridge Rd Hoover AL 35244-5243 Ph: (205) 425-5241 |
| NPI Number | 1801203369 |
|---|---|
| Provider Enumeration Date | 07/16/2014 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 0244459485 |
|---|---|
| Medicare Enrollment ID | O20140919001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801203369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Mohannad F Azzam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013141951 PECOS PAC ID: 7911167564 Enrollment ID: I20120320000261 |
| Provider Name | Shandellyn Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780823195 PECOS PAC ID: 4385930205 Enrollment ID: I20160901000493 |
| Provider Name | Roschanda Pullom Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992368054 PECOS PAC ID: 7113260852 Enrollment ID: I20190520002343 |
| Provider Name | Brittany Marie Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639633258 PECOS PAC ID: 0840528550 Enrollment ID: I20190820000446 |
| Provider Name | Michelle Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700378668 PECOS PAC ID: 9931458627 Enrollment ID: I20220301002058 |
| Provider Name | Tarek Abdalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043771421 PECOS PAC ID: 6901149137 Enrollment ID: I20220712003212 |
| Provider Name | Marquita Reynolds Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487378816 PECOS PAC ID: 4183092349 Enrollment ID: I20221118000674 |
| Provider Name | Taylor Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902342835 PECOS PAC ID: 1254616378 Enrollment ID: I20230310002584 |
Skye Health Of Hoover Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3659 Lorna Rd Ste 113, Hoover, AL 35216 Phone: 205-783-5995 Fax: 205-783-5997 | |
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Spectacular & Eternity Group, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 337 Linda Ave, Hoover, AL 35226 Phone: 205-422-5039 | |
Thcp Bham Al 1 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3829 Lorna Rd, Suite 312, Hoover, AL 35244 Phone: 949-525-1069 | |
Hoover Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 774 Shades Mountain Plz, Hoover, AL 35226 Phone: 205-979-3381 | |
Focus-md Hoover Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3829 Lorna Rd Ste 328, Hoover, AL 35244 Phone: 205-968-1518 Fax: 877-385-9053 | |
One Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4745 Chace Cir Ste 101, Hoover, AL 35244 Phone: 205-547-1850 Fax: 205-650-1932 |