Provider Demographics
NPI:1144617564
Name:ALAM, SYEEDA RAUNAK (DO)
Entity Type:Individual
Prefix:
First Name:SYEEDA
Middle Name:RAUNAK
Last Name:ALAM
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:8811 VILLAGE DR STE 114
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5415
Mailing Address - Country:US
Mailing Address - Phone:210-297-2244
Mailing Address - Fax:210-297-2257
Practice Address - Street 1:10607 LIBERTY FLD STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-6406
Practice Address - Country:US
Practice Address - Phone:210-999-5586
Practice Address - Fax:210-999-5605
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2024-02-01
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Provider Licenses
StateLicense IDTaxonomies
TXS2209207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine