Provider Demographics
NPI:1255592168
Name:ALAM, NAHEED
Entity type:Individual
Prefix:DR
First Name:NAHEED
Middle Name:
Last Name:ALAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:14048-2529
Mailing Address - Country:US
Mailing Address - Phone:716-366-1223
Mailing Address - Fax:716-366-6844
Practice Address - Street 1:617 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:NY
Practice Address - Zip Code:14048-2529
Practice Address - Country:US
Practice Address - Phone:716-366-1223
Practice Address - Fax:716-366-6844
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280648207RH0003X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04243569Medicaid