Provider Demographics
NPI:1730361361
Name:AZIEM, AWAD A (MD)
Entity type:Individual
Prefix:DR
First Name:AWAD
Middle Name:A
Last Name:AZIEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AWAD
Other - Middle Name:A
Other - Last Name:AZIEM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4250 NORTH SAGINAW ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48505-2664
Mailing Address - Country:US
Mailing Address - Phone:810-785-1121
Mailing Address - Fax:810-785-3850
Practice Address - Street 1:4250 NORTH SAGINAW ST
Practice Address - Street 2:SUITE A
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48505-2664
Practice Address - Country:US
Practice Address - Phone:810-785-1121
Practice Address - Fax:810-785-3850
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301097557208D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice