Abdol H Azaran MD SC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

ABDOL H AZARAN MD SC

Practice address

16650 Harlem Ave
Tinley Park, IL 60477-1847

Phone

(708) 342-3000

Fax

(708) 342-3040

NPI assigned

Jul 23, 2009

Last updated

Dec 7, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abdol H Azaran, MDNPI 1578563912

Title

President

Phone

(708) 481-4200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdol Azaran, M.D.

  • Nephrology Physician
  • Orland Park, IL
  • NPI 1578563912
  Authorized official Same address or phone
• Mohamad Barakat, MD

  • Nephrology Physician
  • Oak Lawn, IL
  • NPI 1770523201
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1275763245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16650 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771847",
            "telephone_number": "708-342-3000",
            "fax_number": "708-342-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771847",
            "telephone_number": "708-342-3000",
            "fax_number": "708-342-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDOL H AZARAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "AZARAN",
        "authorized_official_first_name": "ABDOL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-481-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diala Ibrahim Abughosh, LCSW

• Nephrology Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.