NPI

Rena A Azar

NPI 1760537484

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
MD PC FPMRS
Type
Individual
Enumeration date
2007-01-24
Last updated
2021-08-16

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Specialties

Licenses

License TN
30628
License TN
MD0000030628

Location

Practice location
325 S Cedar Ave Ste 2
City
South Pittsburg TN
Postal code
37380-1322
Phone
(423) 837-5801

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in South Pittsburg, TN. 54 records in the public file.

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