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NPI 1962908426

NPI 1962908426 : MOHAMMAD ROHEEL ALAM MD : MCKINNEY, TX

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General NPI Number Information
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    NPI Number           |    1962908426
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    Entity Type          |    Individual 
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    Provider Name        |    MOHAMMAD ROHEEL ALAM MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/03/2018
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    Last Update Date     |    07/03/2024
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Provider Practice Location Address
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    Address Line         |    4987 W UNIVERSITY DR 
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75071-5072
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    Country              |    US
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    Telephone            |    214-548-5033
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    Fax                  |    855-583-0626
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Provider Business Mailing Address
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    Address Line         |    2700 E BROAD ST 
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    City                 |    MANSFIELD
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    State                |    TX
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    Zip                  |    76063-5899
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    Country              |    US
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    Telephone            |    682-242-2000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD.42867
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD.42867
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    T4877
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    License Number State |    TX
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