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NPI Code Detail

MEDICARE: HAYA JAMAL AZOUZ

MEDICARE: HAYA JAMAL AZOUZ
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
1208000000XPediatrics Physician04-51386KS
22080P0205XPediatric Endocrinology Physician2022023930MO
3208000000XPediatrics Physician2022023930MO
42080P0205XPediatric Endocrinology Physician04-51386KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750948709
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYA JAMAL AZOUZ
Provider Business Mailing Address
First Line : 2401 GILLHAM RD
Second Line : PROVIDER ENROLLMENT DEPT
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-701-5200
Fax Number : 816-302-9939
Provider Business Practice Location Address
First Line : 501 NW BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-2732
Country : US
Telephone Number : 816-413-2500
Fax Number : 816-302-9939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2019
Last Update Date : 12/02/2025

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Directions to “ HAYA JAMAL AZOUZ ” Practice Location

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