DR. KEITH TARIQ AZIZ (NPI# 1285012351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285012351 |
| Entity Type | Individual |
| Full Name | DR. KEITH TARIQ AZIZ |
| Credential | M.D. |
| Practice Address |
8610 Burning Tree Rd Bethesda MD 20817-2944 |
| Mailing Address |
601 N Caroline St Fl 5 Baltimore MD 21287-0006 |
| Practice Telephone | 2024556051 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | V9138 | MD | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
8610 BURNING TREE RD |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473273 | Nadia Nasir | Student in an Organized Health Care Education/Training Program | 4710 Bethesda Ave Apt 1512, Bethesda, MD 20814-5226 | 2020-09-28 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1184234478 | Xueting Jin | Student in an Organized Health Care Education/Training Program | Bg 10 Rm 3n248 Msc 1500 10 Center Dr, Bethesda, MD 20892-0001 | 2020-08-03 |
| 1538783147 | Michael D Sisler | Student in an Organized Health Care Education/Training Program | Acgme Program 1801021144 8901 Wisconsin Ave, Bethesda, MD 20889-4759 | 2020-05-31 |
| 1477176741 | Scott Hoener | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue Dept of Behavioral Health, Bethesda, MD 20889-0001 | 2020-05-21 |
| 1477175198 | Marissa Anne Manning | Student in an Organized Health Care Education/Training Program | 4494 Palmer Rd, Bethesda, MD 20889-0001 | 2020-05-15 |
| 1134741457 | Kathleen Elizabeth Bathon | Student in an Organized Health Care Education/Training Program | 4954 North Palmer Road, Internal Medicine Department, American Building 19, Bethesda, MD 20889-5600 | 2020-05-08 |
| 1477172195 | Sidney Elliot Zven | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Iave, Bethesda, MD 20889-0001 | 2020-04-13 |
| 1497374441 | Rebecca Lee | Student in an Organized Health Care Education/Training Program | 4494 North Palmer Road Anesthesiology Department, Bethesda, MD 20889-0001 | 2020-04-09 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| Find all providers in BETHESDA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.