Individual
KHALID ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16410 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908
(239) 343-6202
(239) 437-8537
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6202
(239) 437-8537
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
34103
WI
207RG0100X
Gastroenterology Physician
Primary
ME90035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019566100
—
FL
05
—
31904700
—
WI
Enumeration date
09/06/2005
Last updated
03/24/2021
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