Individual provider · Type 1 NPI

Mustafa Azam, MD

Student in an Organized Health Care Education/Training Program · Southfield, MI

NPI number 1669227328 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Call (248) 849-3000 Map

Mailing address

37190 Russell Dr
Westland, MI 48185-0018

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669227328

Mustafa Azam, MD's National Provider Identifier is 1669227328, issued on Apr 17, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southfield, MI. The record was last updated on Jun 24, 2025.