Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KHALIL AZEM, MD
Active Sole ProprietorOtolaryngology · WILLOUGHBY, OH
Registration Details
- NPI Number
- 1508859497
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2005 (20.658579812454 yrs)
- Last Updated
- Oct 4, 2010
- License
-
054514 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
36100 EUCLID AVESTE 350WILLOUGHBY, OH, 440944456Browse OH providers · Browse ZIP 44094
- Phone
- 4409429308
- Fax
- 4409428981
- Primary Specialty
-
Otolaryngology
207Y00000X
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.