Provider Demographics
NPI:1417188806
Name:ALAM, MIAN BILAL (MD)
Entity Type:Individual
Prefix:
First Name:MIAN
Middle Name:BILAL
Last Name:ALAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 W MCCREIGHT AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-1890
Mailing Address - Country:US
Mailing Address - Phone:937-323-1404
Mailing Address - Fax:937-323-1407
Practice Address - Street 1:100 W MCCREIGHT AVE STE 150
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-1890
Practice Address - Country:US
Practice Address - Phone:937-323-1404
Practice Address - Fax:937-323-1407
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT194541207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine