Provider Demographics
NPI:1598700726
Name:AZIZ, NAVEED KHALID (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVEED
Middle Name:KHALID
Last Name:AZIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-3820
Mailing Address - Country:US
Mailing Address - Phone:910-436-0424
Mailing Address - Fax:910-436-0361
Practice Address - Street 1:224 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-3820
Practice Address - Country:US
Practice Address - Phone:910-436-0424
Practice Address - Fax:910-436-0361
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700016207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G17725Medicare UPIN