Healthcare Provider Details

I. General information

NPI: 1609549906
Provider Name (Legal Business Name): AZERA CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2021
Last Update Date: 08/21/2021
Certification Date: 08/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 PIERRE PL
APEX NC
27502-5261
US

IV. Provider business mailing address

1780 PIERRE PL
APEX NC
27502-5261
US

V. Phone/Fax

Practice location:
  • Phone: 650-933-8282
  • Fax:
Mailing address:
  • Phone: 650-933-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: RUFAT NADIR
Title or Position: OWNER/CEO
Credential:
Phone: 650-933-8282