Individual
REZAUL ALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-2659
Mailing address
387 SPRINGDALE DR, MARION, AR 72364-2350
(870) 210-8324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R73015
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R73015
RN LICENSE NUMBER
AR
Enumeration date
10/20/2010
Last updated
10/20/2010
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