Basic Information
| Provider Information | |||||||||
| NPI: | 1902542319 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AZAD | ||||||||
| FirstName: | SAIMA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4131 EDINBURG CIR | ||||||||
| Address2: | |||||||||
| City: | BEL AIRE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 672203861 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3162091106 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1900 23RD ST | ||||||||
| Address2: | |||||||||
| City: | CUYAHOGA FALLS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442231404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3309717225 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2022 | ||||||||
| LastUpdateDate: | 05/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.