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Contact Information

AZHAR IMAM, MD
3930 PENDER DR STE 350
FAIRFAX, VA22030-0989
 Phone: 703-865-8686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for AZHAR IMAM · (Male)

NPI # 1578516597
Status Active
Credentials MD
Entity Individual
Enumeration date 05/19/2006
Last updated 08/12/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 042814
  • VA License # 0101285977
  • CT Medicaid 001428144
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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