Thabet Hassan El-azem CRNA

NPI 1215222039 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1215222039
Gender Male
Enumeration Date 06/09/2011
Last Updated 06/09/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
600 GRESHAM DR
NORFOLK VA, 23507-1904, US
Phone (757) 473-0055
Fax (757) 437-0075
Business Location
134 BUSINESS PARK DR
VIRGINIA BEACH VA, 23462-6523, US
Phone (757) 473-0055
Fax (757) 473-0075
Toxanomy
Taxonomy Code 367500000X
License State Virginia
License Number 0024169314
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According to our database, Mr. Thabet Hassan El-azem CRNA NPI is 1215222039, taxonomy code is 367500000X and license number is 0024169314, license state is located at Virginia. Thabet Hassan El-azem CRNA physically located at 600 Gresham Dr, Norfolk VA, 23507-1904. NPI Number Thabet Hassan El-azem CRNA has the Individual type.

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1215222039 NPI number is provided on an as is basis without warranty of any kind. 1215222039 is maintained by the National Plan & Provider Enumeration System. The contents of Thabet Hassan El-azem CRNA are for informational purposes only.