Individual
AZHAR IMAM
Active
Individual
AZHAR IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101285977
VA
2084P0800X
Psychiatry Physician
042814
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001428144
—
CT
Enumeration date
05/19/2006
Last updated
08/12/2025
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