Bushra I. Al-Azzawi, M.D., LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0061485 Issued in MD

Legal business name

BUSHRA I. AL-AZZAWI, M.D., LLC

Practice address

6830 Hospital Dr
Suite 204
Baltimore, MD 21237-4373

Phone

(443) 559-5082

Fax

(443) 559-5078

NPI assigned

Feb 10, 2014

Organization subpart

No

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

Authorized official

Name

Bushra I Al-Azzawi, M.D.

Title

Owner

Phone

(443) 559-5082

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1902220080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 HOSPITAL DR",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374373",
            "telephone_number": "443-559-5082",
            "fax_number": "443-559-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 HOSPITAL DR",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374373",
            "telephone_number": "443-559-5082",
            "fax_number": "443-559-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSHRA I. AL-AZZAWI, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "AL-AZZAWI",
        "authorized_official_first_name": "BUSHRA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-559-5082",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0061485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Errol L Bush, MD
• Jokara Bush
• Rhea Bush
• Roosevelt Bush Jr., DDS MPH
• Samantha Bush
• Yizhak Bushwick, D.C.
• Megan Busick
• Michelle J Busick, RPH
• Rodnell Busigo Torres, BS
• Business Health Services

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.