Provider Demographics
NPI:1285845933
Name:KABIR, AZAD ALAMGIR (MD)
Entity Type:Individual
Prefix:
First Name:AZAD
Middle Name:ALAMGIR
Last Name:KABIR
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 1:1120 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39530-3631
Mailing Address - Country:US
Mailing Address - Phone:228-202-7872
Mailing Address - Fax:228-202-7871
Practice Address - Street 1:1120 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39530-3631
Practice Address - Country:US
Practice Address - Phone:228-202-7872
Practice Address - Fax:228-202-7871
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01069191A207R00000X
MS22187207R00000X
FLME107818208M00000X
MO2010011912208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist