Provider Demographics
NPI:1063725901
Name:AZIZ, BILAL (MD)
Entity type:Individual
Prefix:DR
First Name:BILAL
Middle Name:
Last Name:AZIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1373 E BOONE ST
Mailing Address - Street 2:SUITE 1201
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OKLAHOMA
Mailing Address - Zip Code:74464
Mailing Address - Country:UM
Mailing Address - Phone:918-207-1189
Mailing Address - Fax:918-207-1160
Practice Address - Street 1:1373 E BOONE ST
Practice Address - Street 2:SUITE 1201
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464-3364
Practice Address - Country:US
Practice Address - Phone:918-207-1189
Practice Address - Fax:918-207-1160
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK29521207R00000X, 207RN0300X
TXBP20047247207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine