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DR. RAED AZZAM M.D. NPI 1871743955


NPI Information

NPI: 1871743955
Provider Name: DR. RAED AZZAM, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
4125 MEDINA RD STE 201
AKRON, OH
ZIP 44333
Phone: (216) 445-0601
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DR. Raed Azzam, M.D. is a neurology psychiatry neurology in Akron, OH with 18 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Raed Azzam, M.D. NPI is 1871743955. 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:

4125 MEDINA RD STE 201
AKRON, OH
ZIP 44333-514
Phone: (216) 445-0601

The NPI 1871743955 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement and recording of brain wave (eeg) activity, awake and drowsy (HCPCS:95816)
  • Measurement and recording of brain wave (eeg) activity, awake and asleep (HCPCS:95819)

The enumeration date for this NPI number is 9/24/2008 and was last updated on 11/13/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology35-098629OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19338635OTHEROHIOPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
21841239274OTHEROHIOPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
32551671OTHEROHIOPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
40103704MEDICAIDOHIO

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: 4/28/2024

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