Provider Demographics
NPI:1275911042
Name:AZAP, THOMAS F
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:AZAP
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 1:9803 DENISON AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-4630
Mailing Address - Country:US
Mailing Address - Phone:330-460-6041
Mailing Address - Fax:330-460-6042
Practice Address - Street 1:9803 DENISON AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-4630
Practice Address - Country:US
Practice Address - Phone:330-460-6041
Practice Address - Fax:330-460-6042
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2384701251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health