Individual provider Active NPI

Owais Azharuddin, MD

  • Family Medicine Physician
  • Apache Junction, AZ
National Provider Identifier
1003506502
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80339 Issued in AZ
Practice address
2870 W Apache TRL
Apache Junction, AZ 85120-5209
Phone
(602) 562-3021
NPI assigned
May 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 80339 AZ Primary

Addresses

Primary practice location

2870 W Apache TRL
Apache Junction, AZ 85120-5209

Mailing address

2870 W Apache TRL
Apache Junction, AZ 85120-5209
Phone (602) 562-3021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606003118 NC Order and Referring Only - Family PracticePractitioner - Family Practice 9830556802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1003506502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 W APACHE TRL",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205209",
            "telephone_number": "602-562-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 W APACHE TRL",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205209",
            "telephone_number": "602-562-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZHARUDDIN",
        "first_name": "OWAIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "80339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

Verify at the official NPI Registry.