Provider Demographics
NPI:1275114167
Name:AZIZ, NUMAN (MD)
Entity type:Individual
Prefix:MR
First Name:NUMAN
Middle Name:
Last Name:AZIZ
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 1:25 DURHAM ST. W
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:K9V 2P3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 MINERAL POINT AVE
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53548-2940
Practice Address - Country:US
Practice Address - Phone:608-756-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2024-07-10
Deactivation Date:2022-03-02
Deactivation Code:
Reactivation Date:2022-03-25
Provider Licenses
StateLicense IDTaxonomies
WI83719-20207Q00000X, 208M00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program