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NPI Code Detail

MEDICARE: SHAFIQUL ALAM MD

MEDICARE:   SHAFIQUL  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
1207R00000XInternal Medicine Physician4301085362MI

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 : 1649258021
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAFIQUL ALAM MD
Provider Business Mailing Address
First Line : 2708 S ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-4577
Country : US
Telephone Number : 248-844-1500
Fax Number : 248-844-1501
Provider Business Practice Location Address
First Line : 2708 S ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-4577
Country : US
Telephone Number : 248-844-1500
Fax Number : 248-844-1501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 01/05/2016

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Directions to “ SHAFIQUL ALAM MD” Practice Location

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