Suraiya Khanom Azom, M.D.

NPI #1619319894 in Wayne, Michigan

Provider Information

NPI Number: 1619319894
Entity Type: Individual
Name: Suraiya Khanom Azom, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 29, 2013
Last Updated: Jul 29, 2013

Practice Location

Address: 33155 ANNAPOLIS ST
City: Wayne
State: Michigan
ZIP Code: 48184-2405
Phone: (734) 467-2482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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