| Bushra I. Al-azzawi, M.d., Llc | |
|
6830 Hospital Dr Suite 204 Baltimore MD 21237-4373 | |
| (443) 559-5082 | |
| (443) 559-5078 |
| Full Name | Bushra I. Al-azzawi, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6830 Hospital Dr, Baltimore, Maryland |
| Authorized Official Name and Position | Bushra I Al-azzawi (OWNER) |
| Authorized Official Contact | 4435595082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bushra I. Al-azzawi, M.d., Llc 6830 Hospital Dr Suite 204 Baltimore MD 21237-4373 Ph: (443) 559-5082 | Bushra I. Al-azzawi, M.d., Llc 6830 Hospital Dr Suite 204 Baltimore MD 21237-4373 Ph: (443) 559-5082 |
| NPI Number | 1902220080 |
|---|---|
| Provider Enumeration Date | 02/10/2014 |
| Last Update Date | 02/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902220080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0061485 (Maryland) | Primary |
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