Provider Demographics
NPI:1316507452
Name:BAZAZ, ENAS (MD)
Entity type:Individual
Prefix:DR
First Name:ENAS
Middle Name:
Last Name:BAZAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ENASS
Other - Middle Name:
Other - Last Name:BAZAZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:METROPOLITAN HOSPITAL CENTER- DEPARTMENT OF SURGERY
Mailing Address - Street 2:1901 1ST AVENUE,
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-423-6271
Mailing Address - Fax:
Practice Address - Street 1:1901 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7494
Practice Address - Country:US
Practice Address - Phone:212-423-6271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program