MEDICARE: ZAINAB ALAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	MD25345	ME

General Provider Information

NPI Number	:	1316507635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAINAB ALAM

Provider Business Mailing Address
First Line	:	PO BOX 468
Second Line	:
City	:	SKOWHEGAN
State	:	ME
Zip	:	04976-0468
Country	:	US
Telephone Number	:	207-858-8367
Fax Number	:

Provider Business Practice Location Address
First Line	:	344 LAKEWOOD RD
Second Line	:
City	:	MADISON
State	:	ME
Zip	:	04950-3015
Country	:	US
Telephone Number	:	207-474-2994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2019
Last Update Date	:	08/01/2025

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Directions to “ ZAINAB ALAM ” Practice Location

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