Kimia Azari
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Gambrills, MD
NPI 1063347722 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1063347722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 740 MD-3 South
Gambrills, MD 21054 - Phone
- (443) 645-3162
- NPI assigned
- Jun 15, 2026
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MD | Yes |
Addresses
Primary practice location
740 MD-3 South
Gambrills, MD 21054
Mailing address
1006 Spa Rd Apt 302
Annapolis, MD 21403-5953
Other providers in Gambrills, MD
- Angel Management, Inc Dba Brightstar Healthcare
- Anne Arundel Primary Care
- Arundel Neurology, P.a.
- Ati Holdings, LLC
- Bruce Auslander
- Olga Baczara
- Antonino Barbaro
- Nitchel Bastien
- Ziad E Batrouni
- Merritt Leigh Baumgartner
All providers in Gambrills, MD · Student in an Organized Health Care Education/Training Program in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. 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.