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Contact Information

MOHAMED M AZAB, MD
1726 SHAWANO AVE
GREEN BAY, WI54303-3216
 Phone: 920-496-4700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MOHAMED M AZAB · (Male)

NPI Number 1013390434
Status Active
Credentials MD
Entity Individual
Enumeration date 07/02/2015
Last updated 05/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 75068-20
Hospital affiliation(s)
  • COMMUNITY MEMORIAL HSPTL - (Critical Access)
    855 S MAIN ST
    OCONTO FALLS, WI 54154
  • ST MARYS HSPTL MED CTR - (Acute Care)
    1726 SHAWANO AVE
    GREEN BAY, WI 54303
  • ST VINCENT HSPTL - (Acute Care)
    835 S VAN BUREN ST
    GREEN BAY, WI 54301
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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