Azamat Abdyraimov, MD
Internal Medicine in Providence, RI. Individual provider (NPI-1).
NPI number1184303216
StatusActive
Last updated in NPPESJul 17, 2023
Details
- NPI
- 1184303216
- Entity type
- Individual (NPI-1)
- Name
- Azamat Abdyraimov
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2023
- Certification date
- Jul 15, 2023
- Last updated
- Jul 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | CLP06067 | RI | Yes |
Practice location
825 Chalkstone AveProvidence, RI 02908-4728
Phone 401-456-2000
Mailing address
825 Chalkstone AveProvidence, RI 02908-4728
Phone 401-456-2000
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