Nelofer Azad, M.D.,P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J0393 Issued in TX

Legal business name

NELOFER AZAD, M.D.,P.A.

Practice address

12201 Merit Dr
Suite 440
Dallas, TX 75251-2213

Phone

(972) 490-6556

Fax

(972) 490-6189

NPI assigned

May 3, 2012

Last updated

May 3, 2012By 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

Dr. Nelofer H Azad, M,D,NPI 1336224286

Title

President

Phone

(972) 490-6556

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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.

• Nelofer Hashim Azad, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1336224286
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1689932105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR",
            "address_2": "SUITE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512213",
            "telephone_number": "972-490-6556",
            "fax_number": "972-490-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR",
            "address_2": "SUITE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512213",
            "telephone_number": "972-490-6556",
            "fax_number": "972-490-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELOFER AZAD, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "AZAD",
        "authorized_official_first_name": "NELOFER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-490-6556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M,D,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J0393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029880401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alexis Marie Nelson, PA-C
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• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.