Individual
MAHMOOD ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
226 MEDICAL PLAZA LANE, WHITESBURG, KY 41858
(606) 633-4871
(606) 633-0883
Mailing address
PO BOX 40, WHITESBURG, KY 41858
(606) 633-4823
(606) 633-1874
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
32958
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64011604
—
KY
Enumeration date
05/23/2006
Last updated
01/04/2012
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