Provider Demographics
NPI:1023704863
Name:AZZAM, WAEL
Entity type:Individual
Prefix:
First Name:WAEL
Middle Name:
Last Name:AZZAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LAU MEDICAL CENTER-RIZK HOSPITAL, ZAHAR STREET, ACHROFI
Mailing Address - Street 2:PO BOX 11-3288
Mailing Address - City:BEIRUT
Mailing Address - State:LEBANON
Mailing Address - Zip Code:00000
Mailing Address - Country:LB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MEDSTAR WASHINGTON HOSPITAL CENTER
Practice Address - Street 2:110 IRVING ST. NW DEPT OF INTERNAL MEDICINE
Practice Address - City:WASHINGTON DC
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-877-2835
Practice Address - Fax:202-877-8288
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program