Provider Demographics
NPI:1255015749
Name:ALAM, AAMIR
Entity type:Individual
Prefix:
First Name:AAMIR
Middle Name:
Last Name:ALAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 JUMPERS HOLE RD
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-2609
Mailing Address - Country:US
Mailing Address - Phone:410-987-3204
Mailing Address - Fax:
Practice Address - Street 1:2001 ALICEANNA ST APT 462
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-3864
Practice Address - Country:US
Practice Address - Phone:631-662-0396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD181931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice