Al-Kimawi, Magid Azam
Al-Kimawi, Magid Azam is an sole proprietor health care provider with primary practice located at 1285 Creekside Blvd E Unit 102 , Naples FL 34109-0595. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Al-Kimawi, Magid Azam can be contacted via phone (239) 624-0960.Contact Information
Primary practice address
1285 Creekside Blvd E Unit 102
Naples FL 34109-0595
Phone: (239) 624-0960
Fax: (239) 624-0961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 257452 | Massachusetts |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 257452 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ME137943 | Florida |
Profile Details
| NPI number | 1487819686 |
|---|---|
| LBN Legal business name | Al-Kimawi, Magid Azam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2008 |
| Last updated | Nov 24th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487819686 | NPPES |
| Florida | MEDICAID | 100996100 | |
| Florida | Other | KI092 | |
| Florida | Other | BCJA4 |
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