Provider Demographics
NPI:1639109648
Name:ATIYA, AZMI W (MD)
Entity Type:Individual
Prefix:
First Name:AZMI
Middle Name:W
Last Name:ATIYA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:18350 ROSCOE BLVD.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4148
Mailing Address - Country:US
Mailing Address - Phone:818-993-4471
Mailing Address - Fax:818-993-7565
Practice Address - Street 1:18350 ROSCOE BLVD.
Practice Address - Street 2:SUITE 201
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4148
Practice Address - Country:US
Practice Address - Phone:818-993-4471
Practice Address - Fax:818-993-7565
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2024-04-08
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Provider Licenses
StateLicense IDTaxonomies
CAG78432208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)