Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mohamed Moneeb Abdellatif Azab, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013390434

Mohamed Moneeb Abdellatif Azab, MD is a Gastroenterology in Green Bay, Wisconsin. Qualified in 2010, 16 years ago. Practices with Norman Regional Providers Specialty Care, a 145-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1726 Shawano Ave
Green Bay, WI 54303-3216
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 W Charleston Blvd, Las Vegas, NV 89102-2325 — (702) 671-2358

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 75068-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013390434
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2015
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Norman Regional Providers Specialty Care — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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