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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOHAMMAD O AZAM, PA

Active

MOHAMMAD O AZAM, PA is a Medical Physician Assistant healthcare provider located in MINEOLA, New York. NPI 1669626024 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · MINEOLA, NY

Registration Details

NPI Number
1669626024
Provider Type
Individual
Gender
Male
NPI Issued
Nov 12, 2008 (17.747171280112 yrs)
Last Updated
Aug 9, 2022
License
012399 (NY)

Practice Information

Address
120 MINEOLA BLVD STE 330
MINEOLA, NY, 115014077
Browse NY providers · Browse ZIP 11501
Phone
5166638850
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in MINEOLA, NY

Name Credential NPI
MS. MARIA DEL CONSUELO ALONSO PA 1124207659
MR. GARY W MCCALL PA-C 1174708283
MR. JOHN O GAETANI PA 1508018276
MR. JOSEPH JON DARDANO PA 1215189998
MRS. MONA L SUSSMAN PA 1639321219
MR. JAMES VALLOOR RPA-C 1013162197
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.