Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 046226 | CT |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 57.008379 | OH |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | D0066820 | MD |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | ME 102314 | FL |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | N3431 | TX |
Y | 2081P2900X | Pain Medicine | 2012-00986 | NC |
NPI | 1245366749 |
---|---|
Provider Name | Dr. Ehsan Alam |
First Address | Charlotte, NC 28209-3239 |
Second Address | Laurinburg, NC 28352-5524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 14/03/2014 |