Provider Demographics
NPI:1124751714
Name:AZZI, ZIAD (MD)
Entity type:Individual
Prefix:MR
First Name:ZIAD
Middle Name:
Last Name:AZZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9313 BOULEVARD GOUIN QUEST
Mailing Address - Street 2:
Mailing Address - City:MONTREAL
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H4K1C9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3-363 BROADWAY
Practice Address - Street 2:SUITE #302
Practice Address - City:WINNIPEG
Practice Address - State:MANITOBA
Practice Address - Zip Code:R3C3N9
Practice Address - Country:CA
Practice Address - Phone:431-374-3910
Practice Address - Fax:844-951-5052
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301505867207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine