Ali Tareq Jaleel Al-Azzawi, DO Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Syracuse, NY

NPI

1831681352

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

Sex

Male

Sole proprietor

Yes

Enumerated

2018-05-31

Last updated

2025-10-10