MUSTAFA AZAM MD
NPI 1669227328
Student in an Organized Health Care Education/Training Program in Southfield, MI
About Mustafa Azam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUSTAFA AZAM MD (NPI 1669227328) is an individual student in an organized health care education/training program in Southfield, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mustafa Azam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mustafa Azam's NPI number?
The NPI number for Mustafa Azam is 1669227328. It was assigned to this individual provider in the NPPES registry on April 17, 2024.
Where is Mustafa Azam located?
Mustafa Azam practices at 16001 W 9 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 849-3000.
What is Mustafa Azam's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Mustafa Azam enrolled in Medicare?
Yes. Mustafa Azam is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mustafa Azam was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mustafa Azam, MD · NPI 1669227328
Student in an Organized Health Care Education/Training Program provider in Southfield, Michigan. Individual provider, active in the CMS NPPES registry since April 17, 2024.
## Identity
- **NPI:** 1669227328 (Entity type: Individual)
- **Enumerated:** April 17, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16001 W 9 MILE RD, Southfield, MI 48075-4818
- **Phone:** (248) 849-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669227328) · Data from the CMS NPPES public registry.