Provider Demographics
NPI:1295961043
Name:ABDEL-AZIZ, SALWA (MD)
Entity type:Individual
Prefix:DR
First Name:SALWA
Middle Name:
Last Name:ABDEL-AZIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SALWA
Other - Middle Name:
Other - Last Name:AZIZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:933 BRADBURY DR SE
Mailing Address - Street 2:SUITE 2222
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4374
Mailing Address - Country:US
Mailing Address - Phone:801-703-1179
Mailing Address - Fax:
Practice Address - Street 1:403 LANDON GATE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1539
Practice Address - Country:US
Practice Address - Phone:801-703-1179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NMRS2014-0423207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program