Provider Demographics
NPI:1457646341
Name:AZAR, SOUBHI (MD)
Entity type:Individual
Prefix:
First Name:SOUBHI
Middle Name:
Last Name:AZAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1001 W FAYETTE ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-2859
Mailing Address - Country:US
Mailing Address - Phone:315-472-1488
Mailing Address - Fax:315-472-8060
Practice Address - Street 1:4500 PEWTER LN BLDG 1
Practice Address - Street 2:
Practice Address - City:MANLIUS
Practice Address - State:NY
Practice Address - Zip Code:13104-7704
Practice Address - Country:US
Practice Address - Phone:315-682-6600
Practice Address - Fax:315-682-0570
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2025-09-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY275660207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine