Provider Demographics
NPI:1871138404
Name:BAZI, TONY
Entity type:Individual
Prefix:DR
First Name:TONY
Middle Name:
Last Name:BAZI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AUB MEDICAL CENTER. P.O.BOX 11-0236. RIAD EL SOLH
Mailing Address - Street 2:
Mailing Address - City:BEIRUT
Mailing Address - State:BEIRUT
Mailing Address - Zip Code:11072020
Mailing Address - Country:LB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:AUB MEDICAL CENTER. 1, CAIRO ST.
Practice Address - Street 2:
Practice Address - City:BEIRUT
Practice Address - State:BEIRUT
Practice Address - Zip Code:11072020
Practice Address - Country:LB
Practice Address - Phone:961-135-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY27201207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty