Rami Azzam
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Southampton, NY
NPI 1013760123 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1013760123
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 240 Meeting House LN
Southampton, NY 11968-5009 - Phone
- (631) 726-0409
- NPI assigned
- Apr 9, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Interoperability endpoints
- rami.azzam.p1@direct.shproviders.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
240 Meeting House LN
Southampton, NY 11968-5009
Mailing address
240 Meeting House LN
Southampton, NY 11968-5009
Other providers in Southampton, NY
- Jason John Argiro
- Usman Asif
- Jheanelle A Atkinson
- Lauren Attner
- Louis J Avvento
- Ali El-Rida Baghdadi
- Constantine Bakas
- Monina Baldo
- Lauren Bangel
- Nathaniel Barber
All providers in Southampton, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.