Provider Demographics
NPI:1619135480
Name:ALAM, SYED MF (MD)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:MF
Last Name:ALAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3790 CAPITAL AVE SW
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-8332
Mailing Address - Country:US
Mailing Address - Phone:269-979-6310
Mailing Address - Fax:269-979-8807
Practice Address - Street 1:3790 CAPITAL AVE SW
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-8332
Practice Address - Country:US
Practice Address - Phone:269-979-6310
Practice Address - Fax:269-979-8807
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010983362086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT39- STUDENT, HEALTHOtherPROVIDER TYPE CODE
CT39- STUDENT, HEALTHOtherPROVIDER TYPE CODE