MEDICARE: MOHAMMAD S ALAM MD

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
1	207R00000X	Internal Medicine Physician	311681	NY
2	208M00000X	Hospitalist Physician	343988	LA
3	207R00000X	Internal Medicine Physician	A179808	CA

General Provider Information

NPI Number	:	1376047647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD S ALAM MD

Provider Business Mailing Address
First Line	:	6151 RADFORD AVE APT 494
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-0043
Country	:	US
Telephone Number	:	716-785-4449
Fax Number	:

Provider Business Practice Location Address
First Line	:	6151 RADFORD AVE APT 494
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-0043
Country	:	US
Telephone Number	:	716-785-4449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2018
Last Update Date	:	12/23/2024

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