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NPI Code Detail

MEDICARE: REUBEN AZAD MD

MEDICARE:   REUBEN  AZAD  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianMD459068PA
2207R00000XInternal Medicine PhysicianMD459068PA

General Provider Information

NPI Number : 1598104515
Entity Type Code : Individual
Provider Name (Legal Business Name) : REUBEN AZAD MD
Provider Business Mailing Address
First Line : 9501 ROOSEVELT BLVD STE 501
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-1030
Country : US
Telephone Number : 215-673-5000
Fax Number : 215-673-0718
Provider Business Practice Location Address
First Line : 9501 ROOSEVELT BLVD STE 501
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-1030
Country : US
Telephone Number : 215-673-5000
Fax Number : 215-673-0718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2013
Last Update Date : 12/12/2025

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