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

Fazle Azeem, MD

Individual provider Internal Medicine Physician · NPI 1760057194

Fazle Azeem, MD is an Internal Medicine Physician in Far Rockaway, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5015 Beach Channel Dr
Far Rockaway, NY 11691-1110
Phone: (718) 734-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 109585-01 (NY)

Record details

NPI number1760057194
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 27, 2021
Last updated in NPPESNovember 3, 2024
Certification dateNovember 3, 2024
Mailing address40 Dora St, Staten Island, NY 10314-2107

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