Khalil Azem, MD is a
Otolaryngology physician based in Willoughby, Ohio. Khalil Azem is licensed to practice in Ohio (license number 054514) and his current practice location is 36100 Euclid Ave, Ste 350, Willoughby, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 942-9308.
NPI number for Khalil Azem is 1508859497 and his current mailing address is 36100 Euclid Ave, Ste 350, Willoughby, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508859497.
Physician's Profile
| Full Name | Khalil Azem |
|---|
| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 36100 Euclid Ave, Willoughby, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508859497
- Provider Enumeration Date: 08/25/2005
- Last Update Date: 10/04/2010
Medical Identifiers
Medical identifiers for Khalil Azem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508859497 | NPI | - | NPPES |
| 000000131755 | Other | OH | BLUE CROSS BLUE SHIELD |
| 0652575 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 054514 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Khalil Azem is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Khalil Azem, MD
36100 Euclid Ave, Ste 350,
Willoughby, OH 44094-4456
Ph: (440) 942-9308 | Khalil Azem, MD
36100 Euclid Ave, Ste 350,
Willoughby, OH 44094-4456
Ph: (440) 942-9308 |
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