IndividualActive
Azriel Avezbadalov, D.O.
NPI 1376833129 · Cardiovascular Disease Physician · Fort Wayne, IN
Provider details
- NPI number
- 1376833129
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 267039 (NY)
Practice location
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 432-2297
Fax: (260) 434-6433
Mailing address
7850 Lago Del Mar Dr Apt 116
Boca Raton, FL 33433-4984
Registry dates
- Enumerated
- 2011-04-13
- Last updated
- 2025-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.