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NPI Code Detail

MEDICARE: DR. TALHA S ALLAM M.D

MEDICARE: DR. TALHA S ALLAM M.D
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
12085R0202XDiagnostic Radiology Physician036-140517IL
22085R0202XDiagnostic Radiology Physician2009014808MO

General Provider Information

NPI Number : 1174750152
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TALHA S ALLAM M.D
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 615 S NEW BALLAS RD
Second Line : GME
City : SAINT LOUIS
State : MO
Zip : 63141-8221
Country : US
Telephone Number : 314-251-6930
Fax Number : 314-251-4288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2009
Last Update Date : 03/04/2026

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