Healthcare Provider Details

I. General information

NPI: 1770312621
Provider Name (Legal Business Name): OWAIS ALAM M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date: 05/13/2025
Reactivation Date: 01/02/2026

III. Provider practice location address

FLUSHING HOSPITAL MEDICAL CENTER 4500 PARSONS BOULEVARD, STE #415
FLUSHING NY
11355-2205
US

IV. Provider business mailing address

FLUSHING HOSPITAL MEDICAL CENTER 4500 PARSONS BOULEVARD, STE #415
FLUSHING NY
11355-2205
US

V. Phone/Fax

Practice location:
  • Phone: 718-670-5534
  • Fax: 718-670-3031
Mailing address:
  • Phone: 718-670-5534
  • Fax: 718-670-3031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: