Individual provider · NPI-1

Serag Eddin Fathi Abdulaziz, m.d

Internal Medicine · Columbus, OH

NPI number1164718409

StatusActive

Last updated in NPPESMar 17, 2018

Details

NPI: 1164718409
Entity type: Individual (NPI-1)
Name: Serag Eddin Fathi Abdulaziz
Credential: m.d
Sex: Male
Sole proprietor: No
Enumeration date: Jun 24, 2011
Last updated: Mar 17, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	35.124221	OH	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

5969 E Broad St Ste 403
Columbus, OH 43213-1540

Phone 614-234-7535

Mailing address

5969 E Broad St Ste 403
Columbus, OH 43213-1540

Phone 614-234-7535

Other practice locations

2553 E 11th St
Bsmt
Brooklyn, NY 11235-5011

Phone 443-739-7501

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