Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Arvin Azam, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164360509

Arvin Azam, DO is a Student in an Organized Health Care Education/Training Program in Port Jefferson, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 473-1320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164360509
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 24, 2026
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026
Mailing address75 N Country Rd, Port Jefferson, NY 11777-2119

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