National Provider Identifier

Basem Nady Azab, M.D.

Basem Nady Azab, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Elmira, NY and a listed phone number of (607) 734-7982.

NPI 1457506867Elmira, NYSurgery Physician

Profile Overview

NPI
1457506867
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
November 26, 2008
Last Updated
July 20, 2015

Practice Location

  • 1138 Broadway St
  • Elmira, NY 14904-2502

Phone: (607) 734-7982

Mailing Address

  • 722 W Water St
  • Elmira, NY 14905-2435

Specialties

  • Surgery Physician (208600000X)
Full Record
NPI
1457506867
Entity Type
Individual
Last Name
Azab
First Name
Basem
Middle Name
Nady
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
722 W Water St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-2435
Mailing Country
US
Mailing Phone
(607) 271-2050
Practice Street Address
1138 Broadway St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14904-2502
Practice Country
US
Practice Phone
(607) 734-7982
Practice Fax
(607) 734-1953
Enumeration Date
November 26, 2008
Last Updated
July 20, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)
Other Identifiers
03125468 (NY)