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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780654988 | NPPES |
| Arizona | MEDICAID | 344207 |
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