KHALIL AZEM MD NPI 1508859497

NPI Information

  • NPI: 1508859497
  • Provider Name: KHALIL AZEM, MD
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 36100 EUCLID AVE
    STE 350
    WILLOUGHBY, OH
    ZIP 44094
  • Phone: (440) 942-9308

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NPI Details

Khalil Azem, MD is an otolaryngology in Willoughby, OH. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Khalil Azem, MD NPI is 1508859497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

36100 EUCLID AVE
STE 350
WILLOUGHBY, OH
ZIP 44094-456
Phone: (440) 942-9308
Fax: (440) 942-8981

The NPI 1508859497 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2005 and was last updated on 10/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology054514OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10652575MEDICAIDOHIO
2A16783MEDICARE UPIN
3000000131755OTHEROHIOBLUE CROSS BLUE SHIELD
40594477MEDICARE ID-TYPE UNSPECIFIEDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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