Individual provider · Type 1 NPI

Manha Azam

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

NPI number 1861339715 Active

Practice location

11900 E 12 Mile Rd Ste 205
Warren, MI 48093-3499

Call (586) 582-7033 Map

Mailing address

47304 Woodlong Dr Apt Suite
Canton, MI 48187-4678

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 1861339715

Manha Azam's National Provider Identifier is 1861339715, issued on Apr 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Warren, MI. The record was last updated on Apr 29, 2026.