MEDICARE: HAROON ALAM

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	224Z00000X	Occupational Therapy Assistant

General Provider Information

NPI Number	:	1396121216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROON ALAM

Provider Business Mailing Address
First Line	:	7303 CALEDON CT
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-6904
Country	:	US
Telephone Number	:	301-442-3244
Fax Number	:

Provider Business Practice Location Address
First Line	:	7303 CALEDON CT
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-6904
Country	:	US
Telephone Number	:	301-442-3244
Fax Number	:

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

Provider Enumeration Date	:	08/03/2015
Last Update Date	:	08/03/2015

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Directions to “ HAROON ALAM ” Practice Location

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