Azra Afthab
Individual provider Active NPI Internal Medicine Physician · Easton, PA
NPI 1194666552 · NPPES record last updated Apr 1, 2026
Key facts
- NPI
- 1194666552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MT236069 (PA)
- Practice address
- 1700 St Lukes Blvd
Easton, PA 18045-5670 - Phone
- (484) 526-1000
- NPI assigned
- Apr 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260408000855 | PA | Order and Referring Only - Internal Medicine |
8628543576 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT236069 | PA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT236069 | PA | Yes |
Addresses
Primary practice location
1700 St Lukes Blvd
Easton, PA 18045-5670
Mailing address
1700 St Lukes Blvd
Easton, PA 18045-5670
Phone (484) 526-1000
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All providers in Easton, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.