Individual provider · NPI-1

Dr. Azzam A Adhal, MD

Internal Medicine · Panama City, FL

NPI number1295714129
StatusActive
Last updated in NPPESNov 15, 2022

Details

NPI
1295714129
Entity type
Individual (NPI-1)
Name
Dr. Azzam A Adhal
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 10, 2006
Certification date
Nov 15, 2022
Last updated
Nov 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME39261FLYes

Practice location

2195 Jenks Ave
Ste B
Panama City, FL 32405-4551

Phone 850-784-6696 · Fax 850-785-2100

Mailing address

Po Box 15909
Panama City, FL 32406-5909

Phone 850-784-6696 · Fax 850-785-2100

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