Provider Demographics
NPI:1376895557
Name:ALAM, MUNA TOSNIM (DO)
Entity Type:Individual
Prefix:
First Name:MUNA
Middle Name:TOSNIM
Last Name:ALAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:844 WASHINGTON RD STE 302
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6664
Practice Address - Country:US
Practice Address - Phone:410-876-2003
Practice Address - Fax:410-848-3009
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2023-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY266899207V00000X
MDH0090804207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH90804OtherSTATE LICENSE
MD585849600Medicaid
NY03512012Medicaid