Dr. Michael Gabriel Azzam, MD
Dr. Michael Gabriel Azzam, MD is an Orthopedic Surgery in Prairie Village, Kansas. Graduated from Saint Louis University School of Medicine in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Kansas and Missouri.
- Years since qualifying
- 16
- Trained at
- Saint Louis University School of Medicine
- Licensed in
- KS, MO
- In the registry since
- 2010
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5200 W 94th Ter Ste 113Prairie Village, KS 66207-2522
Phone: (913) 906-8640
Fax: (913) 906-8682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence 04-41486 (KS) |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence 2016016714 (MO) |
| Sports Medicine (Orthopaedic Surgery) Physician | Taxonomy 207XX0005X · Licence 04-41486 (KS) |
| Sports Medicine (Orthopaedic Surgery) Physician | Taxonomy 207XX0005X · Licence 2016016714 (MO) |
Record details
| NPI number | 1215258736 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 18, 2010 |
| Last updated in NPPES | June 18, 2021 |
| Certification date | June 18, 2021 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2010 (16 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Prairie Village
-
Impact Orthopedics & Sports Medicine, LLC
5200 W 94th Ter Ste 113, Prairie Village, KS 66207-2522 · (913) 906-8640