Provider Demographics
NPI:1871720904
Name:AZAB MEDICAL ASSOCIATES INC
Entity type:Organization
Organization Name:AZAB MEDICAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANY
Authorized Official - Middle Name:K
Authorized Official - Last Name:AZAB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-922-5933
Mailing Address - Street 1:1019 HIGHLIGHT DR
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-3491
Mailing Address - Country:US
Mailing Address - Phone:626-922-5933
Mailing Address - Fax:
Practice Address - Street 1:1019 HIGHLIGHT DR
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-3491
Practice Address - Country:US
Practice Address - Phone:626-922-5933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48694207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty