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NPI Code Detail

MEDICARE: MAQSOOD ALAM M.D.

MEDICARE: MAQSOOD ALAM 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
1207RI0200XInfectious Disease Physician233680NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326044926
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAQSOOD ALAM M.D.
Provider Business Mailing Address
First Line : 27 MIDDLE LN
Second Line :
City : JERICHO
State : NY
Zip : 11753-2235
Country : US
Telephone Number : 516-974-5177
Fax Number : 516-678-2465
Provider Business Practice Location Address
First Line : 27 MIDDLE LN
Second Line :
City : JERICHO
State : NY
Zip : 11753-2235
Country : US
Telephone Number : 516-974-5177
Fax Number : 516-678-2465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 06/11/2020

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