Provider Demographics
NPI: | 1487662169 |
---|---|
Name: | ALAMY, SAYED SHAHEER (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | SAYED |
Middle Name: | SHAHEER |
Last Name: | ALAMY |
Suffix: | |
Gender: | M |
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: | 409 SOUTH SECOND STREET |
Mailing Address - Street 2: | SUITE 2F |
Mailing Address - City: | HARRISBURG |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 17104-1612 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1100 GRAMPIAN BLVD |
Practice Address - Street 2: | 5TH FLOOR |
Practice Address - City: | WILLIAMSPORT |
Practice Address - State: | PA |
Practice Address - Zip Code: | 17701-1909 |
Practice Address - Country: | US |
Practice Address - Phone: | 570-320-7525 |
Practice Address - Fax: | 570-320-7484 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-08-04 |
Last Update Date: | 2017-06-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | MD429750 | 2084P0800X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
PA | 1903286 | Other | HIGHMARK BLUE SHIELD |
PA | 1017109150001 | Medicaid | |
PA | 820532 | Other | FIRST PRIORITY HEALTH |
H26702 | Medicare UPIN | ||
PA | 1903286 | Other | HIGHMARK BLUE SHIELD |