Provider Demographics
NPI:1619110608
Name:AZZOUNI, FARIS SABRI (MD)
Entity Type:Individual
Prefix:
First Name:FARIS
Middle Name:SABRI
Last Name:AZZOUNI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2214 CANTERBURY DR
Mailing Address - Street 2:SUITE 308
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2386
Mailing Address - Country:US
Mailing Address - Phone:785-628-6014
Mailing Address - Fax:785-628-6094
Practice Address - Street 1:2214 CANTERBURY DR
Practice Address - Street 2:SUITE 308
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2386
Practice Address - Country:US
Practice Address - Phone:785-628-6014
Practice Address - Fax:785-628-6094
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2013-07-31
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Provider Licenses
StateLicense IDTaxonomies
KS0436700208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology