Individual
DR. SUHAIL ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
(602) 508-4830
Mailing address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
(602) 508-4830
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35777
AZ
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
35777
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125835
—
AZ
05
—
GR002104I
—
CA
Enumeration date
12/07/2005
Last updated
04/30/2019
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