Susan Azad Md Inc | |
9001 Wilshire Blvd Ste 200 Beverly Hills CA 90211-1840 | |
(310) 279-4649 | |
(310) 734-0726 |
Full Name | Susan Azad Md Inc |
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Speciality | Internal Medicine |
Location | 9001 Wilshire Blvd Ste 200, Beverly Hills, California |
Authorized Official Name and Position | Susan Azad (MD) |
Authorized Official Contact | 3102794649 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Susan Azad Md Inc 9001 Wilshire Blvd Ste 200 Beverly Hills CA 90211-1840 Ph: (310) 279-4649 | Susan Azad Md Inc 9001 Wilshire Blvd Ste 200 Beverly Hills CA 90211-1840 Ph: (310) 279-4649 |
NPI Number | 1649499724 |
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Provider Enumeration Date | 04/25/2007 |
Last Update Date | 05/22/2024 |
Medicare PECOS PAC ID | 3779681390 |
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Medicare Enrollment ID | O20070605000700 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649499724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A66554 (California) | Primary |
Provider Name | Susan Azad |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437207073 PECOS PAC ID: 9133227747 Enrollment ID: I20070605000695 |
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