M. M. Alam Md Pllc | |
17415 Fountainview Cir Sugar Land TX 77479-3099 | |
(281) 265-8436 | |
Not Available |
Full Name | M. M. Alam Md Pllc |
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Speciality | Family Medicine |
Location | 17415 Fountainview Cir, Sugar Land, Texas |
Authorized Official Name and Position | Md Monjurul Alam (OWNER / PRESIDENT) |
Authorized Official Contact | 2812658436 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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M. M. Alam Md Pllc 6319 Fairmont Pkwy Suite #201 Pasadena TX 77505-4245 Ph: () - | M. M. Alam Md Pllc 17415 Fountainview Cir Sugar Land TX 77479-3099 Ph: (281) 265-8436 |
NPI Number | 1851764518 |
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Provider Enumeration Date | 11/03/2015 |
Last Update Date | 11/03/2015 |
Medicare PECOS PAC ID | 5991006637 |
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Medicare Enrollment ID | O20151222000954 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851764518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | P0332 (Texas) | Primary |
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
Provider Name | Md Monjurul Alam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669535357 PECOS PAC ID: 3971750290 Enrollment ID: I20120821001035 |
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