# DR. HASAN B ALAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902880321
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 224253 | MA | — |
| 208600000X | Surgery Physician | 4301101784 | MI | — |
| 2086S0102X | Surgical Critical Care Physician | 224253 | MA | — |
| 2086S0102X | Surgical Critical Care Physician | 4301104784 | MI | — |
| 2086S0127X | Trauma Surgery Physician | 036153320 | IL | Yes |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 10/08/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2102587 | — | MA |
| 01 | — | 468294 | TUFTS HEALTH PLAN | MA |
| 01 | — | J28695 | BCBS OF MA | MA |