NPI 1457046641 · live from the CMS NPI Registry
Ezoza Azzam, DO
Anesthesiology in Richmond, VA. National Provider Identifier 1457046641, active.
NPI record
| NPI | 1457046641 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 417 N 11th St, Richmond, VA 23298 |
| Practice phone | 804-828-0733 |
| Mailing address | Po Box 980257, Richmond, VA 23298 |
| Enumerated | April 5, 2023 |
| Last updated | July 1, 2024 |
| Sole proprietor | No |
| Other names | Ezoza Rajabaliev |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 1457046641 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.