Azizkhan Internal Medicine Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AZIZKHAN INTERNAL MEDICINE ASSOCIATES

Practice address

888 Poplar Church Rd
Camp Hill, PA 17011-2205

Phone

(717) 724-2126

Fax

(717) 724-2132

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Authorized official

Name

Reza G Azizkhan Jr., D.O.NPI 1548258296

Title

President

Phone

(717) 724-2126

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Reza George Azizkhan Jr., DO

  • Internal Medicine Physician
  • Camp Hill, PA
  • NPI 1548258296
  Medicare reassignment Care Compare group Authorized official
• Supriyo U Ghosh, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Camp Hill, PA
  • NPI 1366430019
  Medicare reassignment Care Compare group
• Steven Allen Prophet, MD

  • Internal Medicine Physician
  • Camp Hill, PA
  • NPI 1457349102
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1982666731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 POPLAR CHURCH RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112205",
            "telephone_number": "717-724-2126",
            "fax_number": "717-724-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 POPLAR CHURCH RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112205",
            "telephone_number": "717-724-2126",
            "fax_number": "717-724-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZIZKHAN INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "AZIZKHAN",
        "authorized_official_first_name": "REZA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-724-2126",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019281210003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Maria Avedissian, RN
• Humberto L Avila Jr.
• Deanna Ayrapetian
• Stacy Nicole Ayraud, RN
• Shirin Azadi, DMD
• Reza George Azizkhan Jr., DO
• B and D Homecare Services Inc. (B and D Homecare Services Inc. dba Home Helpers and Direct Link Office)
• B N Rheumatology Associates PLLC
• Brooke Eliza Backus
• Amalia Bactol, RN

• Internal Medicine Physician in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.