MARTIN AZZAM (NPI# 1508493800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508493800 |
| Entity Type | Individual |
| Full Name | MARTIN AZZAM |
| Credential | MD |
| Practice Address |
4210 Amber Marie Ln Reno NV 89503-1022 |
| Practice Telephone | 7753155127 |
| Mailing Telephone | 7753155127 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4210 AMBER MARIE LN |
| City | RENO |
| State | NV |
| Zip Code | 89503-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654932 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 401 West 2nd Street, Reno, NV 89503 | 2018-10-02 |
| 1356825392 | Shelby Downs | Behavior Technician | 2730 W 7th St, Reno, NV 89503 | 2018-09-15 |
| 1659805570 | Lee Ann Malone | Counselor | 200 W 1st St, Ste 200, Reno, NV 89503 | 2017-04-18 |
| 1255786828 | Eric Allen Hare | Counselor | 1201 North Stewart Street, Sutie 120, Carson City, NV 89503 | 2016-05-02 |
| 1407226095 | Travis B Adams | Dentist | 855 W Seventh St, Ste 200, Reno, NV 89503 | 2015-09-25 |
| 1477933877 | Shawn Mahan | Counselor | 900 W. First Streeet, Reno, NV 89503 | 2015-06-02 |
| 1801144431 | Yesenia Hernandez | Community Health Worker | 900w 1st Street Ste.200, Reno, NV 89503 | 2012-08-29 |
| 1053667501 | Barbara Frey | Social Worker | 580 W 5th Street, Reno, NV 89503 | 2012-08-01 |
| 1548546146 | The Note-ables | Day Training, Developmentally Disabled Services | 925 Riverside Drive, Suite 6, Reno, NV 89503 | 2011-10-26 |
| 1194011270 | Joanne Krumpe | Psychologist | 507 W. 6th St, Reno, NV 89503 | 2011-06-27 |
| Find all providers in zip 89503 | ||||
| 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 |
|---|---|---|---|---|
| 1154949840 | Mekha Omarimuhammad | Student in an Organized Health Care Education/Training Program | 2505 Rio Rico Ct, Reno, NV 89523-6213 | 2020-07-08 |
| 1912529744 | Michelle Loubet | Student in an Organized Health Care Education/Training Program | 18600 Wedge Pkwy Ste 104, Reno, NV 89511-3036 | 2020-05-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1710516620 | Gianni Boitano Perano | Student in an Organized Health Care Education/Training Program | 1664 N Virginia Street Brigham Building/316, Reno, NV 89557-0001 | 2020-04-02 |
| 1699303750 | Loren Fisher | Student in an Organized Health Care Education/Training Program | 1664 N Virginia Street Brigham Bldg 316, Reno, NV 89557-0169 | 2020-04-01 |
| 1821626698 | Haviva Kobany | Student in an Organized Health Care Education/Training Program | 3465 Ridgecrest Dr, Reno, NV 89512-1443 | 2020-03-29 |
| 1003441197 | Marisa Ann Sewell | Student in an Organized Health Care Education/Training Program | 1664 N Virginia Ave Unr School of Medicine, Reno, NV 89557-0001 | 2020-03-09 |
| 1104478411 | Taryn Bales | Student in an Organized Health Care Education/Training Program | 6340 Antero Dr, Reno, NV 89523-2845 | 2019-07-16 |
| 1245882562 | Ryan Wong | Student in an Organized Health Care Education/Training Program | Unr Med Pa 1664 North Virginia St, Reno, NV 89557-0001 | 2019-07-16 |
| Find all providers in RENO | ||||
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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.