Provider Demographics
NPI:1780749804
Name:ALAM, SYEDA NAUREEN (MD)
Entity type:Individual
Prefix:
First Name:SYEDA
Middle Name:NAUREEN
Last Name:ALAM
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:SYEDA
Other - Middle Name:NAUREEN
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:701 E MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4412
Mailing Address - Country:US
Mailing Address - Phone:301-801-1367
Mailing Address - Fax:
Practice Address - Street 1:694 GOOD DR STE 11
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2433
Practice Address - Country:US
Practice Address - Phone:717-544-0040
Practice Address - Fax:717-544-0041
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD430390207V00000X
MDD0070483207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD520068700Medicaid
MDG00121Medicare UPIN
MD191987ZAEMedicare PIN