Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL GABRIEL AZZAM, M.D.
ActiveDR. MICHAEL GABRIEL AZZAM, M.D. is a Orthopaedic Surgery healthcare provider located in PRAIRIE VILLAGE, Kansas. NPI 1215258736 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · PRAIRIE VILLAGE, KS
Registration Details
- NPI Number
- 1215258736
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2010 (16.165104705894 yrs)
- Last Updated
- Jun 18, 2021
- Licenses
-
2016016714 (MO)04-41486 (KS)2016016714 (MO)04-41486 (KS)
Practice Information
- Address
-
5200 W 94TH TER STE 113PRAIRIE VILLAGE, KS, 662072522Browse KS providers · Browse ZIP 66207
- Phone
- 9139068640
- Fax
- 9139068682
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
- Additional Specialty
- Orthopaedic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.