Provider Demographics
NPI:1033692025
Name:ABDUL-AZIZ, SAMAR (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SAMAR
Middle Name:
Last Name:ABDUL-AZIZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29248 REGENCY CIR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-6701
Mailing Address - Country:US
Mailing Address - Phone:440-506-3707
Mailing Address - Fax:
Practice Address - Street 1:29101 HEALTH CAMPUS DR STE 425
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5266
Practice Address - Country:US
Practice Address - Phone:440-827-5058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.005559RX363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical