Provider Demographics
NPI:1578047114
Name:MOHAMMAD AZAD MD PA
Entity Type:Organization
Organization Name:MOHAMMAD AZAD MD PA
Other - Org Name:FAIR HEALTH WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AZAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-742-8310
Mailing Address - Street 1:60 E MCDERMOTT DR STE A
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-2802
Mailing Address - Country:US
Mailing Address - Phone:972-742-8310
Mailing Address - Fax:
Practice Address - Street 1:60 E MCDERMOTT DR STE A
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-2802
Practice Address - Country:US
Practice Address - Phone:469-646-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty