Individual
KHONDOKER ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3506 21ST ST STE 400, LUBBOCK, TX 79410-1200
(806) 725-4115
(806) 723-7007
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
BP10052507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F4352
MEDICARE
TX
05
—
414068301
—
TX
01
—
8MY723
BCBS
TX
Enumeration date
06/02/2015
Last updated
09/15/2020
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