Provider Demographics
NPI:1023210945
Name:ALAM, RAMMY IHSAN (DO)
Entity Type:Individual
Prefix:DR
First Name:RAMMY
Middle Name:IHSAN
Last Name:ALAM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2730 UNIVERSITY BLVD SUITE 104
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1979
Mailing Address - Country:US
Mailing Address - Phone:301-942-8799
Mailing Address - Fax:301-933-8554
Practice Address - Street 1:2730 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-1979
Practice Address - Country:US
Practice Address - Phone:301-942-8799
Practice Address - Fax:301-933-8554
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH70799207L00000X
PAOT011574207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology