Payam Azizkhani
Dentist, General Practice in Birmingham, AL. Individual provider (NPI-1).
NPI number1982309498
StatusActive
Last updated in NPPESJun 27, 2024
Details
- NPI
- 1982309498
- Entity type
- Individual (NPI-1)
- Name
- Payam Azizkhani
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2023
- Certification date
- Jun 27, 2024
- Last updated
- Jun 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D.007219-C1 | AL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2757 Green Springs HwyBirmingham, AL 35209-4903
Phone 205-379-7020
Mailing address
2757 Green Springs HwyBirmingham, AL 35209-4903
Phone 205-379-7020
Other practice locations
625 19th St S
Birmingham, AL 35233-1900
Birmingham, AL 35233-1900
Phone 205-934-2552
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