Provider Demographics
NPI:1235349044
Name:ALAM, ASMI FATIMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ASMI
Middle Name:FATIMA
Last Name:ALAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1303
Mailing Address - Country:US
Mailing Address - Phone:914-474-2096
Mailing Address - Fax:
Practice Address - Street 1:4800 W PANTHER CREEK DR STE 100
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-2568
Practice Address - Country:US
Practice Address - Phone:281-364-8600
Practice Address - Fax:281-298-2005
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242333208000000X
TXN9018208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty