Provider Demographics
NPI:1821288812
Name:ALAM, RABI U (MD)
Entity Type:Individual
Prefix:DR
First Name:RABI
Middle Name:U
Last Name:ALAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:225 W BROADWAY
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1331
Mailing Address - Country:US
Mailing Address - Phone:818-545-7117
Mailing Address - Fax:818-545-1107
Practice Address - Street 1:225 W BROADWAY
Practice Address - Street 2:# 100
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1331
Practice Address - Country:US
Practice Address - Phone:818-545-5457
Practice Address - Fax:818-545-1107
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2015-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA96992207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine