Provider Demographics
NPI:1659335842
Name:EL-ALAMI, OTHMAN NAJIB (MD)
Entity Type:Individual
Prefix:DR
First Name:OTHMAN
Middle Name:NAJIB
Last Name:EL-ALAMI
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 1:211 NEW BRITAIN RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BERLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06037-1360
Mailing Address - Country:US
Mailing Address - Phone:860-348-1100
Mailing Address - Fax:860-348-9613
Practice Address - Street 1:211 NEW BRITAIN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06037-1360
Practice Address - Country:US
Practice Address - Phone:860-348-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT030203207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT00130203301Medicaid
CT110005655Medicare ID - Type Unspecified
CT00130203301Medicaid