Individual
SHARIFUL ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(347) 283-3382
Mailing address
20 YORK STREET, CB-329, NEW HAVEN, CT 06510-3220
(203) 688-1734
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68069
CT
208D00000X
General Practice Physician
68069
CT
208M00000X
Hospitalist Physician
68069
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2018
Last updated
07/27/2021
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