Basic Information
| Provider Information | |||||||||
| NPI: | 1083848535 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | VASI | ||||||||
| FirstName: | AZEEM | ||||||||
| MiddleName: | Z. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 124 BROWN DR | ||||||||
| Address2: | |||||||||
| City: | BRYAN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 435068959 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4196364317 | ||||||||
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| Practice Location | |||||||||
| Address1: | 405 W. GRAND AVE. | ||||||||
| Address2: | GRANDVIEW HOSPITAL AND MEDICAL CENTER- MEDICAL EDUCATIO | ||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9377233248 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/13/2009 | ||||||||
| LastUpdateDate: | 05/13/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207YX0905X | 58.002750 | OH | Y | Allopathic & Osteopathic Physicians | Otolaryngology | Otolaryngology/Facial Plastic Surgery |
No ID Information.