| Doctor Name: | DR. MOHAMMED SADAT AZIZ |
| NPI Number: | 1083912828 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O |
| License Number: | 0102203366 |
| Business Practice Address: | 1585 3rd St Fort Polk, LA - 714595102 |
| Business Phone Number: | 3375318570 |
| Business Fax Number: | |
| Mailing Address: | 1585 3rd St, FORT POLK |
| State: | LA |
| Postal Code: | 714595102 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2011 |
| NPI Last Update Date: | 02/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0102203366 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |