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BASHIR A AZHER MD
>> Urology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1689605404
Individual Registrant: BASHIR A AZHER MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1467 PALMA RD SUITE 4 BULLHEAD CITY, AZ 86442-6785 US
Tel: 928-763-5110 Fax: 928-763-1091
Tel: 928-763-5110 Fax: 928-763-1091
Contact information for business:
1467 PALMA RD SUITE 4 BULLHEAD CITY, AZ 86442-6785 US
Tel: 928-763-5110 Fax: 928-763-1091
Tel: 928-763-5110 Fax: 928-763-1091
Registration Information:
NPI: 1689605404
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208800000X | Allopathic & Osteopathic Physicians Urology | AZ | 14725 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS | AZ0181640 | AZ | 01 |
| 239542002 | AZ | 05 |
