Most Relevant Information
Provider Data
| NPI Number: | 1003256975 |
| Provider Name: | IMAD M. AZIZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 66349-20 |
Most Important Dates
| Enumeration Date: | 06/25/2013 |
| Last Updated: | 06/24/2019 |
Provider Practice Location
2825 PRAIRIE AVE
BELOIT
WI
535111844
Practice Location Phone/Fax
| Phone: | 6083635500 |
| Fax: | 6083635539 |
Provider Mailing Location
2825 PRAIRIE AVE
BELOIT
WI
535111844
Provider Mailing Phone/Fax
| Phone: | 6083635500 |
| Fax: | 6083635539 |
Suggested EMR
Family Practice EMR