Provider Demographics
NPI:1285826792
Name:AZIZ, OSAMA (MD)
Entity Type:Individual
Prefix:DR
First Name:OSAMA
Middle Name:
Last Name:AZIZ
Suffix:
Gender:M
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:PO BOX 151
Mailing Address - Street 2:146 ACADEMY ST, SUITE 1B, THE AROOSTOOK MEDICAL CENTER
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769
Mailing Address - Country:US
Mailing Address - Phone:207-764-2623
Mailing Address - Fax:207-764-6993
Practice Address - Street 1:146 ACADEMY ST, SUITE 1B
Practice Address - Street 2:THE AROOSTOOK MEDICAL CENTER
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769
Practice Address - Country:US
Practice Address - Phone:207-764-2623
Practice Address - Fax:207-764-6993
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME018017207RC0200X, 207RP1001X, 207R00000X
KY41297207RC0200X
KYTP501207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY41297OtherMEDICAL LICENSE
KYTP501OtherMEDICAL LICENSE