KHALIL AZEM MD
NPI 1124235346
Otolaryngology in Willoughby, OH

Active since May 17, 2007
36100 EUCLID AVE, #350, WILLOUGHBY, OH 44094(440) 942-9308(440) 942-8981 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Khalil Azem Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHALIL AZEM MD (NPI 1124235346) is a healthcare organization registered as an otolaryngology in Willoughby, Ohio and active in the NPI registry since May 2007. The organization lists Khalil Azem, President, as its authorized official.

NPPES Registry Identity

NPI1124235346
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameLAKE ENT INC
Location Address36100 EUCLID AVE, #350Willoughby, OH 44094-4456
Mailing Address36100 Euclid Ave, #350Willoughby, OH 44094-4456 · (440) 942-9308 · Fax (440) 942-8981
Fax(440) 942-8981
Organization SubpartNo
Authorized OfficialKhalil AzemPresident · (440) 942-9308
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1124235346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in OH · 054514
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
36100 EUCLID AVE, Willoughby, OH 44094

Other Names 1

Doing Business AsKhalil Azem Md

Other Identifiers 3

Other000000131755OH · Blue Cross Blue Shield
Medicaid0652575OH
Other351443601003OH · Medical Mutual

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
36100 EUCLID AVE, STE 350
WILLOUGHBY, OH 44094
Plastic Surgery
36100 EUCLID AVE, #490
WILLOUGHBY, OH 44094
Internal Medicine (Rheumatology)
36100 EUCLID AVE, SUITE 170
WILLOUGHBY, OH 44094
Surgery
36100 EUCLID AVE
WILLOUGHBY, OH 44094
Internal Medicine (Interventional Cardiology)
36100 EUCLID AVE, #300
WILLOUGHBY, OH 44094
Nurse Practitioner
36100 EUCLID AVE, 120
WILLOUGHBY, OH 44094
Internal Medicine (Cardiovascular Disease)
36100 EUCLID AVE, SUITE 120
WILLOUGHBY, OH 44094
Internal Medicine
36100 EUCLID AVE, #240
WILLOUGHBY, OH 44094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Ent Inc's NPI number?

The NPI number for Lake Ent Inc is 1124235346. It was assigned to this organization in the NPPES registry on May 17, 2007. The provider is doing business as Khalil Azem MD.

Where is Lake Ent Inc located?

Lake Ent Inc is located at 36100 Euclid Ave #350, Willoughby, OH 44094. The listed phone number is (440) 942-9308.

What is Lake Ent Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Lake Ent Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.