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NPI Code Detail

MEDICARE: DR. ABDEL-AZIM BAYOUMY M.D.

MEDICARE: DR. ABDEL-AZIM BAYOUMY M.D.
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
1207R00000XInternal Medicine PhysicianME 99491FL
2207R00000XInternal Medicine Physician044718CT
3208M00000XHospitalist Physician313104NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
203055OTHERFLBLUE CROSS

General Provider Information

NPI Number : 1942402243
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABDEL-AZIM BAYOUMY M.D.
Provider Business Mailing Address
First Line : PO BOX 2098
Second Line :
City : LYNN HAVEN
State : FL
Zip : 32444-0050
Country : US
Telephone Number : 850-215-3001
Fax Number : 850-215-3668
Provider Business Practice Location Address
First Line : 509 E 23RD ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-5307
Country : US
Telephone Number : 850-215-3001
Fax Number : 850-215-3668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2007
Last Update Date : 05/16/2022

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