Provider Demographics
NPI:1356684138
Name:AZIZ, KHYZER (MD)
Entity Type:Individual
Prefix:DR
First Name:KHYZER
Middle Name:
Last Name:AZIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-933-1390
Practice Address - Street 1:1800 ORLEANS STREET
Practice Address - Street 2:BLOOMBERG CHILDREN'S CENTER 8S-8520
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0010
Practice Address - Country:US
Practice Address - Phone:410-614-3829
Practice Address - Fax:410-955-0298
Is Sole Proprietor?:No
Enumeration Date:2013-03-31
Last Update Date:2021-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY283808-01208000000X
MDD89054208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics