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

Fariha Azam

Individual provider Physician Assistant · NPI 1740073501

Fariha Azam is a Physician Assistant in Manassas, Virginia. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

8100 Ashton Ave Ste 200
Manassas, VA 20109-5688
Phone: (571) 581-1771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110011700 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740073501
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2025
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address10405 Edisto Ct, Gainesville, VA 20155-3401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Manassas