Provider Demographics
NPI:1962292540
Name:AL AZAWY, AYAD ARAB
Entity type:Individual
Prefix:
First Name:AYAD
Middle Name:ARAB
Last Name:AL AZAWY
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 1:843 DARREN AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-1270
Mailing Address - Country:US
Mailing Address - Phone:402-853-0252
Mailing Address - Fax:
Practice Address - Street 1:843 DARREN AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-1270
Practice Address - Country:US
Practice Address - Phone:402-853-0252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide