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EJAZ ALAM MD

Physicians Internal Medicine

Provider NPI: 1053411942

Provider Information:
 EJAZ  ALAM MD
Gender: M
Not Sole Proprietor

Practice Location:
9601 BAPTIST HEALTH DRIVE  LITTLE ROCK, AR 72205-6321 US
Tel: 501-851-7402  Fax: 501-851-4753

Business Mailing Address:
11001 EXECUTIVE CENTER DRIVE SUITE 200 LITTLE ROCK, AR 72211-4393 US
Tel: 501-812-7215  Fax: 501-812-7207

NPI Information:
NPI: 1053411942
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XPhysicians
Internal Medicine
ARE4578

Other Provider Identifiers:

IssuerNumberStateType
162025001AR05



American Medical Association 2012 taxonomy code information

Code: 207R00000X

Type:

Classification:



Definition:



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