Individual
DR. KHURSHAID ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4648 JOHN R ST, JOHN DINGELL VA MEDICAL CENTER, DETROIT, MI 48201-1916
(313) 745-3430
Mailing address
4648 POND RUN, CANTON, MI 48188-2198
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2023013326
MO
2085R0202X
Diagnostic Radiology Physician
4301085799
MI
2085R0204X
Vascular & Interventional Radiology Physician
2023013326
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301085799
MI
Other
Enumeration date
05/17/2007
Last updated
07/18/2023
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