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NPI Code Detail

MEDICARE: DR. AZAR KARDAN MD

MEDICARE:  DR. AZAR  KARDAN  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
1208000000XPediatrics Physician35043779OH

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 : 1932192721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AZAR KARDAN MD
Provider Business Mailing Address
First Line : 617 SHROYER RD
Second Line :
City : DAYTON
State : OH
Zip : 45419-4055
Country : US
Telephone Number : 937-296-1126
Fax Number : 937-296-1728
Provider Business Practice Location Address
First Line : 617 SHROYER RD
Second Line :
City : DAYTON
State : OH
Zip : 45419-4055
Country : US
Telephone Number : 937-296-1126
Fax Number : 937-296-1728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 07/08/2007

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Directions to “ DR. AZAR KARDAN MD” Practice Location

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