Alam, Shayan

Alam, Shayan is an individual health care provider with primary practice located at 810 Ainsworth Dr , Prescott AZ 86301-1612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Alam, Shayan can be contacted via phone (928) 771-5548.

Contact Information

Primary practice address
810 Ainsworth Dr Prescott AZ 86301-1612
Phone: (928) 771-5548
Fax: (928) 771-5549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 36010 Arizona
Other Service Providers / Specialist 174400000X A106779 California

Profile Details

NPI number 1780654988
LBN Legal business name Alam, Shayan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Dec 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780654988 NPPES
Arizona MEDICAID 344207

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