Provider Demographics
NPI:1336264241
Name:ALAMI, OTHMAN (MD)
Entity Type:Individual
Prefix:
First Name:OTHMAN
Middle Name:
Last Name:ALAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:OTHMANE
Other - Middle Name:M
Other - Last Name:ALAMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 135
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-0135
Mailing Address - Country:US
Mailing Address - Phone:218-341-5550
Mailing Address - Fax:
Practice Address - Street 1:4250 AUBURN BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-4164
Practice Address - Country:US
Practice Address - Phone:916-489-3336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1482002084P0800X
MN499092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1336264241Medicaid
WI1336264241Medicaid
WI1336264241Medicaid