Provider Demographics
NPI:1437410537
Name:MARKHAM, ALAINA KAY (DO)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:KAY
Last Name:MARKHAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5008
Mailing Address - Country:US
Mailing Address - Phone:610-327-7710
Mailing Address - Fax:610-705-5652
Practice Address - Street 1:649 N LEWIS RD STE 130
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-1234
Practice Address - Country:US
Practice Address - Phone:610-495-8101
Practice Address - Fax:610-495-8106
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS017378207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1030128590001Medicaid
PA1030128590001Medicaid