DR. KRISTEN AZZAM MD
NPI 1801389465
General Practice in Fpo, AP

Active since June 08, 2018

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2023, Apr 13, 2023, Feb 24, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Kristen Azzam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTEN AZZAM MD (NPI 1801389465) is an individual general practice provider in Fpo, AP, licensed in Virginia (0101267908) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1801389465
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. KRISTEN AZZAMCredential: MD
Location AddressBMC FUTENMAFpo, AP 96372
Mailing AddressVmm-265, Unit 37239Fpo, AP 96372
Sole ProprietorNo
Enumeration DateJune 8, 2018
Last NPPES UpdateJuly 13, 20234 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
NPI 1801389465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 0101267908
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

BMC FUTENMA, Fpo, AP 96372

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801389465, enumerated as an "individual" on June 08, 2018.

The provider is located at BMC FUTENMA FPO, AP 96372 and the phone number is (315) 636-3374.

General Practice with taxonomy code 208D00000X.