Your Health

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD09436 Issued in RI

Legal business name

YOUR HEALTH

Practice address

1407 S County TRL
Unit 422
East Greenwich, RI 02818-1652

Phone

(401) 398-2656

NPI assigned

Jun 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Munawar Azam, MDNPI 1104859271

Title

Owner

Phone

(401) 398-2656

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Munawar Azam, MD

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1104859271
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1154734580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MACERA CIR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028868593",
            "telephone_number": "401-398-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S COUNTY TRL",
            "address_2": "UNIT 422",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181652",
            "telephone_number": "401-398-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "AZAM",
        "authorized_official_first_name": "MUNAWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-398-2656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD09436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN OF RI",
            "identifier": "2040325",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Isabelle Wood, DNP
• Joseph A. Wyllie, DO
• Robin Wyllie, SP
• Kristen Yanarella, PT, DPT
• Yestermorrow PC
• Deborah Anne Zinck, M.D.
• Emma Zumsande, NP
• Janine Louise Zuromski, RNP

• Internal Medicine Physician in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.