Provider Demographics
NPI:1780116293
Name:ALMAZ, BIRUK (MD)
Entity type:Individual
Prefix:DR
First Name:BIRUK
Middle Name:
Last Name:ALMAZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BIRUK
Other - Middle Name:
Other - Last Name:ALEMAYEHU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2125 STATE ST STE 3
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4972
Mailing Address - Country:US
Mailing Address - Phone:812-949-5575
Mailing Address - Fax:
Practice Address - Street 1:2125 STATE ST STE 3
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4972
Practice Address - Country:US
Practice Address - Phone:812-949-5575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01091232A208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery