Healthcare Provider Details

I. General information

NPI: 1073456869
Provider Name (Legal Business Name): AZZAMCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6044 SAWMILL RD
DUBLIN OH
43017-1626
US

IV. Provider business mailing address

6044 SAWMILL RD
DUBLIN OH
43017-1626
US

V. Phone/Fax

Practice location:
  • Phone: 614-792-3889
  • Fax:
Mailing address:
  • Phone: 614-405-0460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. ABED EL KAREEM AZZAM
Title or Position: OWNER
Credential:
Phone: 614-405-0460