Individual
DR. AZZAM MUFTAH
Active
Individual
DR. AZZAM MUFTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME68485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100014202
MEDICARE RAILROAD
FL
01
—
16328
WELLCARE
FL
01
—
219941
AVMED
FL
05
—
250149000
—
FL
01
—
28978
BLUE CROSS BLUE SHIELD
FL
01
—
5825117
AETNA
FL
01
—
593570847
PROVIDER ID
FL
01
—
6013192
GHI
FL
Enumeration date
03/31/2006
Last updated
04/08/2026
Update your record
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