MEDICARE: KHALIL AZEM 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
1	207Y00000X	Otolaryngology Physician	054514	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000131755	OTHER	OH	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508859497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHALIL AZEM MD

Provider Business Mailing Address
First Line	:	36100 EUCLID AVE
Second Line	:	STE 350
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-4456
Country	:	US
Telephone Number	:	440-942-9308
Fax Number	:	440-942-8981

Provider Business Practice Location Address
First Line	:	36100 EUCLID AVE
Second Line	:	STE 350
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-4456
Country	:	US
Telephone Number	:	440-942-9308
Fax Number	:	440-942-8981

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	10/04/2010

Similar Medicare Providers

1053312298 — DR. INNA KRASNYANSKY M.D.
Practice Location Address:

36100 EUCLID AVE STE 409
WILLOUGHBY, OH
44094-4456

Practice Phone: 440-946-4662
Practice Fax:

1154315661 — DR. MARK E ANGEL M.D.
Practice Location Address:

36100 EUCLID AVE , #300
WILLOUGHBY, OH
44094-4456

Practice Phone: 440-942-5400
Practice Fax: 440-942-9055

1770570335 — JEAN B LENK M.D.
Practice Location Address:

36100 EUCLID AVE , SUITE 430
WILLOUGHBY, OH
44094-4456

Practice Phone: 440-946-4070
Practice Fax: 440-946-4071

1790774370 — BERNARD D PERLA MD
Practice Location Address:

36100 EUCLID AVE , STE 450
WILLOUGHBY, OH
44094-4456

Practice Phone: 440-946-9555
Practice Fax: 440-946-2223

1760467484 — DR. BRUCE ROBERT JACOBSON M.D.
Practice Location Address:

36100 EUCLID AVE , SUITE 450
WILLOUGHBY, OH
44094-4456

Practice Phone: 440-946-9555
Practice Fax: 440-946-2223

1861451403 — DR. TIMOTHY P DOYLE MD
Practice Location Address:

36100 EUCLID AVE , SUITE 120
WILLOUGHBY, OH
44094-4456

Practice Phone: 440-951-8360
Practice Fax: 440-951-9408

Directions to “ KHALIL AZEM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.