MEDICARE: NABIHA YASMEEN AZIZ 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	207RH0003X	Hematology & Oncology Physician	R9714	TX
2	207R00000X	Internal Medicine Physician	BP10050263	TX
3	207RX0202X	Medical Oncology Physician	R9714	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8LQ051	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1720408735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NABIHA YASMEEN AZIZ MD

Provider Business Mailing Address
First Line	:	P O BOX 4439
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77210-4439
Country	:	US
Telephone Number	:	713-792-2991
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 HOLCOMBE BLVD UNIT 1654
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4000
Country	:	US
Telephone Number	:	713-792-6161
Fax Number	:

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

Provider Enumeration Date	:	04/17/2014
Last Update Date	:	08/07/2024

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