| Cpi Physicians, P.c: Assumed Name As Of 4/23/04 | |
|
319 S Manning Blvd Suite 116 Albany NY 12208-1742 | |
| (518) 459-1800 | |
| (518) 459-1818 |
| Full Name | Cpi Physicians, P.c: Assumed Name As Of 4/23/04 |
|---|---|
| Speciality | Internal Medicine |
| Location | 319 S Manning Blvd, Albany, New York |
| Authorized Official Name and Position | Abul K Azad (OWNER) |
| Authorized Official Contact | 5184591800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpi Physicians, P.c: Assumed Name As Of 4/23/04 319 S Manning Blvd Suite 116 Albany NY 12208-1742 Ph: (518) 459-1800 | Cpi Physicians, P.c: Assumed Name As Of 4/23/04 319 S Manning Blvd Suite 116 Albany NY 12208-1742 Ph: (518) 459-1800 |
| NPI Number | 1770646804 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 06/17/2008 |
| Medicare PECOS PAC ID | 4880640259 |
|---|---|
| Medicare Enrollment ID | O20050329000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770646804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
| Provider Name | Abul K. Azad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003979121 PECOS PAC ID: 6507812971 Enrollment ID: I20090428000000 |
| Provider Name | Najiib Azad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396186433 PECOS PAC ID: 2567751068 Enrollment ID: I20180912003676 |
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