Healthcare Provider Details

I. General information

NPI: 1548195050
Provider Name (Legal Business Name): SHAFIQ ALAM MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 S ROCHESTER RD
ROCHESTER HILLS MI
48307-4577
US

IV. Provider business mailing address

2708 S ROCHESTER RD
ROCHESTER HILLS MI
48307-4577
US

V. Phone/Fax

Practice location:
  • Phone: 248-844-1500
  • Fax: 248-844-1501
Mailing address:
  • Phone: 248-844-1500
  • Fax: 248-844-1501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SHAFIQUL ALAM
Title or Position: OWNER
Credential: MD
Phone: 248-844-1500