Organization Active NPI

Azan Medical, PA

  • Family Medicine Physician
  • Sarasota, FL
National Provider Identifier
1497157705
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME99337 Issued in FL
Legal business name
AZAN MEDICAL, PA
Practice address
4014 Sawyer Rd
Sarasota, FL 34233-1272
Phone
(841) 584-8185
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Sohail Shariff, MDNPI 1194730929
Title
Owner/President
Phone
(941) 584-8185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME99337 FL Primary

Addresses

Primary practice location

4014 Sawyer Rd
Sarasota, FL 34233-1272

Mailing address

PO Box 110724
Lakewood RCH, FL 34211-0010
Phone (841) 584-8185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141111000207 FL Part B Supplier - Clinic/Group Practice 2567684319 Receives reassigned benefits from 4 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1497157705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110724",
            "city": "LAKEWOOD RCH",
            "state": "FL",
            "postal_code": "342110010",
            "telephone_number": "841-584-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 SAWYER RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331272",
            "telephone_number": "841-584-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAN MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "SHARIFF",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "941-584-8185",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME99337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.