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Individual

DR. MOHAMMED ASHFAQ AZAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13121 BROOKLANE DR, HAGERSTOWN, MD 21742-1514
(301) 733-0330
Mailing address
17818 THOMAS VILLAGE LN, SANDY SPRING, MD 20860-1341
(678) 613-2236

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101268507
VA
2084P0800X
Psychiatry Physician
Primary
D0096672
MD
2084P0800X
Psychiatry Physician
MD043811
DC

Other

Enumeration date
07/04/2012
Last updated
05/21/2024
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