- Practice location
- 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989
- Phone
- 703-865-8686
- Fax
- —
- Last updated
- August 12, 2025
Azhar Imam is a Psychiatry & Neurology, Psychiatry based in Fairfax, VA. Azhar Imam practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Azhar Imam is 1578516597 and holds a License No. 042814 (CT). The current practice location address for Azhar Imam is 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 and can be reached out via phone at 703-865-8686.
Provider Profile Details
- NPI Number
- 1578516597
- Provider Name
- Azhar Imam
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989
- Phone Number
- 703-865-8686
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 19, 2006
- Last Update Date
- August 12, 2025
- Certification Date
- August 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3930 Pender Dr Ste 350
Fairfax, VA 22030-0989 - City
- Fairfax
- State
- Virginia
- Zip
- 22030-0989
- Phone Number
- 703-865-8686
Provider Business Mailing Address Details
- Address
- 3930 Pender Dr Ste 350
Fairfax, VA 22030-0989 - City
- Fairfax
- State
- VA
- Zip
- 22030-0989
- Phone Number
- 703-865-8686
License Information
- License Number (1)
- 042814
- License State (1)
- CT
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (2)
- 0101285977
- License State (2)
- VA
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Azhar Imam, MD?
The NPI number of Azhar Imam, MD is 1578516597. It was assigned on May 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Azhar Imam, MD?
Azhar Imam, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 042814.
Where does Azhar Imam, MD practice?
The practice location is 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989. The office can be reached at 703-865-8686 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578516597 directly on the NPPES registry website.