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Contact Information

FOUAD G AZZAM, MD
7101 NORTHLAND CIR N
SUITE 209
BROOKLYN PARK, MN55428-1517
 Phone: 763-531-2030
 Fax: 763-531-2099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FOUAD G AZZAM · (Male)

NPI Number 1033185830
Status Active
Credentials MD
Entity Individual
Enumeration date 02/23/2006
Last updated 02/03/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 20093
  • MN Medicaid 067568700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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