Provider Demographics
NPI:1093823874
Name:AZEEM, SAMREEN (MD)
Entity Type:Individual
Prefix:
First Name:SAMREEN
Middle Name:
Last Name:AZEEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5233 SUNSET LAKE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-3793
Mailing Address - Country:US
Mailing Address - Phone:919-387-8885
Mailing Address - Fax:919-387-8861
Practice Address - Street 1:5233 SUNSET LAKE RD
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-3793
Practice Address - Country:US
Practice Address - Phone:919-387-8885
Practice Address - Fax:919-387-8861
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200601349207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine