Provider Demographics
NPI:1659340339
Name:AZIZ, HANY S (MD)
Entity Type:Individual
Prefix:DR
First Name:HANY
Middle Name:S
Last Name:AZIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11134
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-1134
Mailing Address - Country:US
Mailing Address - Phone:661-326-9999
Mailing Address - Fax:661-326-9011
Practice Address - Street 1:3805 SAN DIMAS ST STE B
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5725
Practice Address - Country:US
Practice Address - Phone:661-326-9999
Practice Address - Fax:661-326-9011
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89185207R00000X, 207RC0200X, 207RP1001X
CAA189185208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA141634Medicare UPIN