Provider Demographics
NPI:1518929140
Name:BERKE, ALAM LEAH (MD)
Entity Type:Individual
Prefix:
First Name:ALAM
Middle Name:LEAH
Last Name:BERKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 NE MIAMI GARDENS DR
Mailing Address - Street 2:STE 202
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179
Mailing Address - Country:US
Mailing Address - Phone:305-940-7546
Mailing Address - Fax:305-940-4611
Practice Address - Street 1:1400 NE MIAMI GARDENS DR
Practice Address - Street 2:STE 202
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179
Practice Address - Country:US
Practice Address - Phone:305-940-7546
Practice Address - Fax:305-940-4611
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME25052207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207N00000XAllopathic & Osteopathic PhysiciansDermatology
Not Answered207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D86304Medicare UPIN
FLBC78912Medicare ID - Type Unspecified