Individual
KHONDOKER ALAM
Active
Individual
KHONDOKER ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
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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