Shayan Alam is a Specialist in Prescott, Arizona. Shayan Alam practices all healthcare services and medical treatments related to Specialist. The NPI Number for Shayan Alam is 1780654988. The last update date is 2022-12-06.
Shayan Alam's current location address is 810 Ainsworth Dr, Prescott, Arizona. You can contact this provider via phone number 9287715548 and fax number 9287715549. The mailing address for Shayan Alam is 810 Ainsworth Dr, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shayan Alam |
|---|---|
| Address | 810 Ainsworth Dr, Prescott, Arizona |
| Phone Number | 9287715548 |
| Fax Number | 9287715549 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780654988 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2022-12-06 |
Provider Mailing Address Detail
| Address | 810 Ainsworth Dr |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863011612 |
| Phone Number | 9287715548 |
| Fax Number | 9287715549 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A106779 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 344207 | AZ | -- |
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What is the unique 10-digit identification code issued to Shayan Alam by the Centers for Medicare & Medicaid Services?
The Shayan Alam has been assigned the NPI (National Provider Identifier) 1780654988 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Shayan Alam?
The Shayan Alam is situated at 810 Ainsworth Dr, in the city of Prescott, state of AZ, with the zip code 863011612.
What is the Shayan Alam's specialty and taxonomy code?
The Shayan Alam's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Shayan Alam receive the assignment of its 1780654988 from the Centers for Medicare & Medicaid Services?
The Shayan Alam was issued its 1780654988 by the Centers for Medicare & Medicaid Services on 2006-01-23.
As of what date were the details related to Shayan Alam most recently updated or revised?
The information pertaining to Shayan Alam, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-06.