Syed Khaja Azeemuddin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G1812 Issued in TX

Practice address

10707 W Bellfort St
Houston, TX 77099-4748

Phone

(281) 568-2093

Fax

(281) 568-5967

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1184625097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10707 W BELLFORT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994748",
            "telephone_number": "281-568-2093",
            "fax_number": "281-598-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 W BELLFORT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994748",
            "telephone_number": "281-568-2093",
            "fax_number": "281-568-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEEMUDDIN",
        "first_name": "SYED",
        "middle_name": "KHAJA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G1812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "26500",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130566603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Azar, MD (PLANNED 5/27/22)
• Uvia Azar
• Amir Azeem, M.D.
• Shakeela Azeemuddin, MD
• Shireen Azeemuddin, DPT
• Oluwakemi Azeez
• Azel Saint Care LLC
• Michel Azer Refaat, DDS, MSD
• Aafia Azhar, M.D.
• Ahsan Azhar, MD

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.