Provider Demographics
NPI:1083054902
Name:AZIMI, UMAYR (MD)
Entity Type:Individual
Prefix:DR
First Name:UMAYR
Middle Name:
Last Name:AZIMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:44237 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-2866
Mailing Address - Country:US
Mailing Address - Phone:734-276-7790
Mailing Address - Fax:734-333-9002
Practice Address - Street 1:44237 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-2866
Practice Address - Country:US
Practice Address - Phone:734-333-9001
Practice Address - Fax:734-333-9002
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301103712207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine