| Syed Azim Bukhari, MD | |
|
1073 Harding Memorial Pkwy, Suite A, Marion, OH 43302-6363 | |
| (740) 383-8579 | |
| (740) 387-5244 |
| Full Name | Syed Azim Bukhari |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1073 Harding Memorial Pkwy, Marion, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316905003 | NPI | - | NPPES |
| 000000118378 | Other | OH | ANTTHEM |
| 637381 | Other | AETNA | |
| 353077 | Other | SUBMITTER NO. | |
| 0431965 | Medicaid | OH | |
| 311098079 | Other | TAX ID # | |
| 1200699 | Other | UHC | |
| 311098079 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35042809B (Ohio) | Secondary |
| 208000000X | Pediatrics | 35.042809 (Ohio) | Primary |
| Entity Name | Marion Area Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619230802 PECOS PAC ID: 1850549437 Enrollment ID: O20120925000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Syed Azim Bukhari, MD L-3549, Columbus, OH 43260-0001 Ph: (740) 383-7927 | Syed Azim Bukhari, MD 1073 Harding Memorial Pkwy, Suite A, Marion, OH 43302-6363 Ph: (740) 383-8579 |
Dr. Richard Jonah Flaksman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1040 Delaware Ave, Marion, OH 43302 Phone: 740-383-7936 Fax: 740-375-8174 | |
Beth Ann Baisden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Mckinley Park Dr, Marion, OH 43302 Phone: 740-383-8400 | |
Jackie Lee Quach, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1040 Delaware Ave, Marion, OH 43302 Phone: 740-383-8090 Fax: 740-375-6481 | |
Steven Lee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1040 Delaware Aveneue, Marion, OH 43301 Phone: 740-383-8090 Fax: 740-383-7079 | |
Leonard J Janchar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 181 S Main St, Marion, OH 43302 Phone: 740-383-7927 Fax: 740-383-7942 | |
Walter Jonathan Friedley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1040 Delaware Aveneue, Marion, OH 43301 Phone: 740-383-8090 Fax: 740-375-6481 |