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Individual

DR. IMRAN K ALAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
DEPARTMENT OF NEUROSURGERY, MSC 10 5615, ALBUQUERQUE, NM 87131-0001
(505) 220-8102
Mailing address
PO BOX 4032, ALBUQUERQUE, NM 87196-4032
(505) 220-8102

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
TT2007-0711
NM
2084N0600X
Clinical Neurophysiology Physician
TT2007-0711
NM
246Z00000X
Other Specialist/Technologist
DABNM45
NY
246ZS0410X
Surgical Technologist
DABNM45
NY

Other

Enumeration date
07/19/2006
Last updated
04/25/2008
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