Provider Demographics
NPI:1184936114
Name:AZZO, ZAIN (MD)
Entity type:Individual
Prefix:DR
First Name:ZAIN
Middle Name:
Last Name:AZZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:46591 ROMEO PLANK RD STE 133
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-5705
Mailing Address - Country:US
Mailing Address - Phone:586-580-3062
Mailing Address - Fax:586-580-3143
Practice Address - Street 1:46591 ROMEO PLANK RD STE 133
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-5705
Practice Address - Country:US
Practice Address - Phone:586-580-3062
Practice Address - Fax:586-580-3143
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301096143207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine