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Dr. Azriel Avezbadalov, DO
Cardiovascular Disease Physician in Lafayette, Indiana
NPI 1376833129

Azriel Avezbadalov is a Cardiovascular Disease Physician based in Detroit, IN and is specialized in Cardiovascular Disease. Azriel Avezbadalov practices in Lafayette, IN and has the professional credentials of DO. The NPI Number for Azriel Avezbadalov is 1376833129 and holds a License No. OS13717 (Indiana).

The current practice location address for Azriel Avezbadalov is 3900 St Francis Way Ste 200, Lafayette, IN and can be reached out via phone at 765-775-2800 and via fax at 765-775-2831. You can also correspond with Azriel Avezbadalov through the mailing address at PO BOX 781076, DETROIT, MI - 48278-1076 (mailing address contact number: 317-528-4800).

Location: 3900 St Francis Way Ste 200, Lafayette, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376833129
Provider Name
Azriel Avezbadalov
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3900 St Francis Way Ste 200, Lafayette, IN, 48278-1076
Phone Number
765-775-2800
Fax Number
765-775-2831
Provider Enumeration Date
04/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018825600 05 FL
PENDING 01 FL MEDICARE
260690286 01 IN MEDICARE
300029932 05 IN
institution
Provider Business Practice Location Address Details
Address
3900 St Francis Way Ste 200
City
Lafayette
State
Indiana
Zip
47905-4940
Phone Number
765-775-2800
Fax Number
765-775-2831
person
Provider Business Mailing Address Details
Address
3900 St Francis Way Ste 200
City
Lafayette
State
Indiana
Zip
47905-4940
Phone Number
765-775-2800
Fax Number
765-775-2831
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
72069 (Wisconsin)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Clinical Cardiac Electrophysiology
Taxonomy
207RC0001X
License No.
OS13717 (Florida)
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
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