Provider Demographics
NPI:1033211313
Name:ALAM, BIRJIS K (MD)
Entity type:Individual
Prefix:
First Name:BIRJIS
Middle Name:K
Last Name:ALAM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:12781 MIRAMAR PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2906
Mailing Address - Country:US
Mailing Address - Phone:954-437-2020
Mailing Address - Fax:954-436-9614
Practice Address - Street 1:12781 MIRAMAR PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2906
Practice Address - Country:US
Practice Address - Phone:954-437-2020
Practice Address - Fax:954-436-9614
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2024-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME67240207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
651066060OtherEIN
651066060OtherEIN
F95454Medicare UPIN