Individual
DR. SHOAIB ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9100 POND MILL CT, GLEN ALLEN, VA 23060-2858
(717) 608-0040
Mailing address
9100 POND MILL CT, GLEN ALLEN, VA 23060-2858
(717) 608-0040
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101244150
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101244150
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
010244150
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009558420001
—
PA
05
—
300021573
—
IN
Enumeration date
05/06/2006
Last updated
02/19/2021
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