NPI 1265220644 · live from the CMS NPI Registry
Gulrez Shah Azhar, MD
Family Medicine in Corvallis, OR. National Provider Identifier 1265220644, active.
NPI record
| NPI | 1265220644 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Practice phone | 541-768-4906 |
| Enumerated | April 28, 2025 |
| Last updated | April 28, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | PG225243 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.