Basic Information
Provider Information
NPI: 1467065466
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AZHAR MUNIR
FirstName: ARMGHAN AZHAR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 401 EAST 74TH STREET, APT 7E
Address2:  
City: NEW YORK CITY
State: NY
PostalCode: 10021
CountryCode: US
TelephoneNumber: 3322179003
FaxNumber:  
Practice Location
Address1: LINCOLN MEDICAL CENTER
Address2: 234 E149TH ST
City: NEW YORK CITY
State: NY
PostalCode: 10451
CountryCode: US
TelephoneNumber: 7185795000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/28/2020
LastUpdateDate: 09/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate: 07/15/2021
NPIReactivationDate: 08/13/2021
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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