Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ABUL KALAM AZAD, MD, MSC, PHD
Active Sole ProprietorDR. ABUL KALAM AZAD, MD, MSC, PHD is a 207SG0205X healthcare provider located in BRONX, New York. NPI 1699389163 is currently active in the NPPES registry. Verify at CMS.
207SG0205X · BRONX, NY
Registration Details
- NPI Number
- 1699389163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2020 (5.9176343914363 yrs)
- Last Updated
- May 24, 2021
- Licenses
-
AZADA1 (NY)AZADA1 (NY)AZADA1 (NY)AZADA1 (NY)AZADA1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1635 POPLAR STBRONX, NY, 104612600Browse NY providers · Browse ZIP 10461
- Phone
- 7184058109
- Primary Specialty
-
207SG0205X
207SG0205X
- Additional Specialty
- 207SG0203X
- Additional Specialty
- 207SM0001X
- Additional Specialty
- 247ZC0005X
- Additional Specialty
- 207SG0205X
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.