Individual
BENISH ALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 10TH AVE STE 100, COLUMBUS, GA 31901-3601
(706) 571-1430
Mailing address
1900 10TH AVE STE 100, COLUMBUS, GA 31901-3601
(706) 571-1430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2022036135
MO
207R00000X
Internal Medicine Physician
P130259
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
04/10/2025
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