Azevedo, Michael P.

Azevedo, Michael P. is an individual health care provider with primary practice located at 1805 E Fir Ave Suite 102, Fresno CA 93720-3859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Azevedo, Michael P. can be contacted via phone (559) 325-3070.

Contact Information

Primary practice address
1805 E Fir Ave Suite 102 Fresno CA 93720-3859
Phone: (559) 325-3070
Fax: (559) 325-3073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A66383 California

Profile Details

NPI number 1073583886
LBN Legal business name Azevedo, Michael P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Dec 15th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073583886 NPPES
California MEDICAID 00A663830
California Other 320024715
California Other 00A663830
California Other 348538500

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