Azam, Muhammad

Azam, Muhammad is an individual health care provider with primary practice located at 1309 Sheldon Rd , Grand Haven MI 49417-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Azam, Muhammad can be contacted via phone (616) 847-5200.

Contact Information

Primary practice address
1309 Sheldon Rd Grand Haven MI 49417-2404
Phone: (616) 847-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301064175 Michigan

Profile Details

NPI number 1043204696
LBN Legal business name Azam, Muhammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Oct 31st, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043204696 NPPES
Michigan MEDICAID 4195886

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