Provider Demographics
NPI:1881610145
Name:ALAM, SITARA JABEEN (MD)
Entity type:Individual
Prefix:DR
First Name:SITARA
Middle Name:JABEEN
Last Name:ALAM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:202 INGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3638
Mailing Address - Country:US
Mailing Address - Phone:828-437-8800
Mailing Address - Fax:
Practice Address - Street 1:1000 S STERLING ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3938
Practice Address - Country:US
Practice Address - Phone:828-433-2235
Practice Address - Fax:828-433-2242
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9601548207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCG16590Medicare UPIN