Healthcare Provider Details

I. General information

NPI: 1508327008
Provider Name (Legal Business Name): ANAS ALAMEH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6950 BROCKTON AVE STE 1
RIVERSIDE CA
92506-3830
US

IV. Provider business mailing address

PO BOX 1691
EVANSVILLE IN
47706-0092
US

V. Phone/Fax

Practice location:
  • Phone: 951-684-6464
  • Fax: 951-684-1312
Mailing address:
  • Phone: 909-881-7400
  • Fax: 909-881-5217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA201778
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: