Saleem Azad, MD

Individual provider Active NPI Diagnostic Radiology Physician · Wayne, MI

NPI 1497784284 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497784284
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
4301035677 (MI)
Practice address
4491 Venoy Rd
Wayne, MI 48184-2530
Phone
(734) 326-5030
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Healthcare Inc Past Accepting new patients
Oakwood Canton Imaging, LLC Diagnostic Radiology Past Accepting new patients
DRS Harris Birkhill Wang Songe & Assoc PC Diagnostic Radiology Past
since Jan 1, 2007
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301035677 MI Yes

Addresses

Primary practice location

4491 Venoy Rd
Wayne, MI 48184-2530

Mailing address

4491 Venoy Rd
Wayne, MI 48184-2530
Phone (734) 326-5030

Other identifiers

IdentifierTypeStateIssuer
4330022MedicaidMI
121583OtherMIGREAT LAKES HEALTH PLAN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497784284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4491 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842530",
            "telephone_number": "734-326-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4491 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842530",
            "telephone_number": "734-326-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAD",
        "first_name": "SALEEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301035677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4330022",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "121583",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

All providers in Wayne, MI · Diagnostic Radiology Physician in Michigan

Sources for this page

Verify at the official NPI Registry.