Individual
DR. MUSTAFA ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-4325
(202) 865-6100
Mailing address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0001
(202) 865-6100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.080462
IL
207Q00000X
Family Medicine Physician
MTL500002788
DC
208D00000X
General Practice Physician
125.080462
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
06/19/2025
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