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Individual

FAHAD ALAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4501 S 70TH ST STE 130, LINCOLN, NE 68516-4276
(402) 484-4940
Mailing address
105 SERRANO PL, LA VERNE, CA 91750-3140
(909) 510-7334

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33335
NE

Other

Enumeration date
05/13/2018
Last updated
09/06/2021
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