Azizullah, Abu N

Azizullah, Abu N is an sole proprietor health care provider with primary practice located at 8550 Ne 138Th Lane The Oaks At 138 Bldg 800, Lady Lake FL 32159-6816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Azizullah, Abu N can be contacted via phone (352) 391-5299.

Contact Information

Primary practice address
8550 Ne 138Th Lane The Oaks At 138 Bldg 800 Lady Lake FL 32159-6816
Phone: (352) 391-5299
Fax: (352) 391-5308
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME86965 Florida

Profile Details

NPI number 1538130117
LBN Legal business name Azizullah, Abu N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated Apr 11th, 2011 - about 15 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 1538130117 NPPES
Florida Other 43231 BCBS
Florida MEDICAID 271012900 BCBS

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