Azim Momin Munivar, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

63820 Issued in CT

Practice address

300 George St Suite 901
Yale University Department of Psychiatry
New Haven, CT 06511

Phone

(210) 785-2095

NPI assigned

Apr 20, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: azim.munivar@xdr.hhchealthdirect.org

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1902330509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GEORGE ST SUITE 901",
            "address_2": "YALE UNIVERSITY DEPARTMENT OF PSYCHIATRY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "210-785-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GEORGE ST SUITE 901",
            "address_2": "YALE UNIVERSITY DEPARTMENT OF PSYCHIATRY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "210-785-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIVAR",
        "first_name": "AZIM",
        "middle_name": "MOMIN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "63820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Mund, MD
• Brian Patrick Munday, P.A.
• Zackery Mundus, PA-C
• Mohamed Siddig Eltayeb Muneer, MBBS
• Thiruvengadam Muniraj, MD PHD FRCP (LONDON)
• Sahil Munjal, M.D
• Ronny Munoz Acuna, M.D.
• Jose Antonio Munoz Mendoza, MD
• Genevieve Munoz, LCSW
• Kenny Munoz

• Psychiatry Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.