MUHAMMAD AZAM (NPI# 1043204696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043204696 |
| Entity Type | Individual |
| Full Name | MUHAMMAD AZAM |
| Credential | MD |
| Practice Address |
1309 Sheldon Rd Grand Haven MI 49417-2404 |
| Mailing Address |
5700 Southwyck Blvd Toledo OH 43614-1509 |
| Practice Telephone | 6168475200 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301064175 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4195886 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740539196 | Muhammad Omar Azam | Internal Medicine | 711 Pennsylyvania Ave, Fort Worth, TX 76104222 | 2012-08-30 |
| 1407048135 | Muhammad Azam | Family Medicine | 401 Ridge Rd, Suite 6, Dayton, NJ 08810-3300 | 2007-08-16 |
| 1467545814 | Muhammad Azam | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-09-30 |
| 1740244367 | Muhammad Anwarul Azam | Family Medicine | 1679 E Main St, Suite 206, El Cajon, CA 92021-5212 | 2006-04-12 |
| 1710947254 | Muhammad Azam | Internal Medicine | 206 E Brown St, Hospitalists, E Stroudsburg, PA 18301-3006 | 2006-03-27 |
| Street Address |
1309 SHELDON RD |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921036 | Grand Haven Pathology, PC | Pathology | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2005-09-08 |
| 1184283624 | Josko Vukusic | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2019-06-09 |
| 1194381814 | Benjamin Esh-nauta | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2019-05-17 |
| 1265948400 | Rebecca Benjamin | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2017-12-26 |
| 1720484538 | Laura Buitenhuis | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2014-11-06 |
| 1679982029 | Angela Mitchell | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2014-08-11 |
| 1629484282 | Julie Shafer | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2014-07-03 |
| 1730593831 | Carrie Brondyke | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2014-06-17 |
| 1699103481 | Kelli Lynn Meyer | Dietitian, Registered | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2013-10-15 |
| 1902184666 | Karl John Lauterbach | Internal Medicine | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2011-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921036 | Grand Haven Pathology, PC | Pathology | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2005-09-08 |
| 1821017724 | Lee J Demeester | Pathology | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2006-07-19 |
| 1356367924 | James Calvin Niewenhuis | Pathology | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2006-07-15 |
| 1407840051 | Kay L Aardema | Pathology | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1942756234 | Ahmed Alrajjal | Pathology | 459 Calvin Avenue, Grosse Pointe Farms, MI 48236-3236 | 2016-08-28 |
| 1649630435 | Barry Dewitt | Pathology | 11345 Greenview Dr, Fenton, MI 48430-2591 | 2016-03-07 |
| 1922467919 | Wilford E. Maldonado | Pathology | 4722 Huron Hill Dr, Okemos, MI 48864-2052 | 2016-02-18 |
| 1144636895 | Ramya Gadde | Pathology | 2799 W.grand Boulevard,henry Ford Hospital, Detroit, MI 48202-2608 | 2014-07-02 |
| 1710329206 | Yulei Shen | Pathology | 1546 Brentwood Dr, Troy, MI 48098-2713 | 2013-07-24 |
| 1437596046 | John P Sherbeck | Pathology | 5305 East Huron River Drive, Ann Arbor, MI 48106 | 2013-05-23 |
| 1942552336 | Kusum Kumar | Pathology | 3885 Highwood Pl, Okemos, MI 48864-3790 | 2012-10-09 |
| 1073864898 | Karel Kithier | Pathology | 5022 Temple Drive, Sterling Heights, MI 48310-4067 | 2012-09-20 |
| 1306191085 | Nathan Stepanek Shaller | Pathology | 1301 Catherine Street, Ann Arbor, MI 48109-5602 | 2012-07-18 |
| Find all providers with the same taxonomy | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.