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Individual
DR. SHAMSUL ALAM
Active
Individual
DR. SHAMSUL ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
E4954
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168252001
—
AR
05
—
200277530A
—
OK
01
—
27959
OKLAHOMA STATE MEDICAL LICENSE
OK
05
—
A68252001
—
AR
Enumeration date
05/26/2006
Last updated
09/28/2015
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