Provider Demographics
NPI:1164151445
Name:PATIENTGRID INCORPORATED
Entity Type:Organization
Organization Name:PATIENTGRID INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-619-1271
Mailing Address - Street 1:2901 SILLECT AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-6373
Mailing Address - Country:US
Mailing Address - Phone:661-619-1271
Mailing Address - Fax:866-252-3902
Practice Address - Street 1:2901 SILLECT AVE STE 204
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6373
Practice Address - Country:US
Practice Address - Phone:661-619-1271
Practice Address - Fax:866-252-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty