Ghufran Azam I, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Fargo, ND
NPI 1134047962 · NPPES record last updated Jul 8, 2026
Key facts
- NPI
- 1134047962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- RL24411 (ND)
- Practice address
- 5225 23Rd Ave S
Fargo, ND 58104-7927 - Phone
- (701) 234-5933
- NPI assigned
- Jul 8, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RL24411 | ND | Yes |
Addresses
Primary practice location
5225 23Rd Ave S
Fargo, ND 58104-7927
Mailing address
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 234-5933
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All providers in Fargo, ND · Student in an Organized Health Care Education/Training Program in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.