Ezoza Azzam, DO
Anesthesiology in Richmond, VA. Individual provider (NPI-1).
NPI number1457046641
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1457046641
- Entity type
- Individual (NPI-1)
- Name
- Ezoza Azzam
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2023
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 1457046641 | VA | Yes |
Other names
- Ezoza Rajabaliev (Former Name)
Practice location
417 N 11th StRichmond, VA 23298-5024
Phone 804-828-0733 · Fax 804-828-8300
Mailing address
Po Box 980257Richmond, VA 23298-0257
Phone 804-828-9783
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