Provider Demographics
NPI:1609133834
Name:ALAM, FARAZ SYED (MD)
Entity Type:Individual
Prefix:DR
First Name:FARAZ
Middle Name:SYED
Last Name:ALAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:800 GARFIELD AVE
Mailing Address - Street 2:WEST VIRGINIA UNIVERSITY -DEPARTMENT OF FAMILY MEDICINE
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5340
Mailing Address - Country:US
Mailing Address - Phone:304-420-7161
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DRIVE
Practice Address - Street 2:WEST VIRGINIA UNIVERSITY -DEPARTMENT OF FAMILY MEDICINE
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-9152
Practice Address - Country:US
Practice Address - Phone:304-598-6907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV26416208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist