Azzam Muftah MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME 68485 Issued in FL

Legal business name

AZZAM MUFTAH MD PA

Practice address

15205 Cortez Blvd
Brooksville, FL 34613-6072

Phone

(352) 597-7744

Fax

(352) 597-7797

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Azzam Muftah, MDNPI 1417918988

Title

Physician

Phone

(352) 597-7744

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

• Azzam Muftah, M.D.

  • Gastroenterology Physician
  • Brooksville, FL
  • NPI 1417918988
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1346375839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15205 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136072",
            "telephone_number": "352-597-7744",
            "fax_number": "352-597-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15205 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136072",
            "telephone_number": "352-597-7744",
            "fax_number": "352-597-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZZAM MUFTAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "MUFTAH",
        "authorized_official_first_name": "AZZAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-597-7744",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 68485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle S Avalos, MD
• Avinash L. Jadhav MD, PA
• Awp Service Solutions
• Axzelant LLC
• Chukwuka G Ayetin, D.O.
• Jennifer Nicole Azzariti, DENTAL HYGIENIST
• Stacey C Azzolino, PA
• Scott Lamar Babcock, CRNA
• Brandon Shayan Badamtchian
• Bothaina Badran, RPH

• Specialist in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.