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

Individual provider Family Medicine Physician · NPI 1619319894

Suraiya Khanom Azom, MD is a Family Practice in Wayne, Michigan. Graduated from Wayne State University School of Medicine in 2013, 13 years ago. Practices with Oakwood Ambulatory LLC, a 272-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2013
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

33155 Annapolis St
Wayne, MI 48184-2405
Phone: (734) 467-2482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301104094 (MI)

Record details

NPI number1619319894
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2013
Last updated in NPPESJuly 29, 2013

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Oakwood Ambulatory Llc — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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