Provider Demographics
NPI:1376580993
Name:ALAM, AWAIS (MD)
Entity Type:Individual
Prefix:
First Name:AWAIS
Middle Name:
Last Name:ALAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 HERITAGE DR
Mailing Address - Street 2:APARTMENT #23
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2075
Mailing Address - Country:US
Mailing Address - Phone:978-335-1639
Mailing Address - Fax:
Practice Address - Street 1:81 HIGHLAND AVE
Practice Address - Street 2:NORTH SHORE MEDIAL CENTER
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2714
Practice Address - Country:US
Practice Address - Phone:978-335-1639
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA226333207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine