Healthcare Provider Details

I. General information

NPI: 1174745095
Provider Name (Legal Business Name): NABIEL J AZAR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: NABIEL JOSEPH AZAR D.O., M.P.H.

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 E BELL RD STE 4100
PHOENIX AZ
85032-2172
US

IV. Provider business mailing address

3820 NORTHDALE BLVD STE 201
TAMPA FL
33624-1893
US

V. Phone/Fax

Practice location:
  • Phone: 813-961-1331
  • Fax: 888-812-8191
Mailing address:
  • Phone: 813-961-1331
  • Fax: 888-812-8191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number006970
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number006970
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: