Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | D0061726 | MD |
NPI | 1174586556 |
---|---|
Provider Name | Zohair Shehzad Alam |
First Address | Silver Spring, MD 20910-4155 |
Second Address | Silver Spring, MD 20910-4155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 07/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
408673200 | (05) | MD |
I38794 | (02) |