Provider Demographics
NPI:1265027502
Name:AZAB, BELAL
Entity Type:Individual
Prefix:DR
First Name:BELAL
Middle Name:
Last Name:AZAB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3327 PARKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-3422
Mailing Address - Country:US
Mailing Address - Phone:804-263-2950
Mailing Address - Fax:
Practice Address - Street 1:622 W. 168TH STREET
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY AND CELL BIOLOGY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-5697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program