Provider Demographics
NPI:1194731224
Name:ALAM, MUHAMMAD SHAH (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:SHAH
Last Name:ALAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 N LAFAYETTE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3834
Mailing Address - Country:US
Mailing Address - Phone:704-487-9766
Mailing Address - Fax:704-487-9891
Practice Address - Street 1:1019 N LAFAYETTE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3834
Practice Address - Country:US
Practice Address - Phone:704-487-9766
Practice Address - Fax:704-487-9891
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200401162207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2262394OtherUNITED HEALTHCARE
0114QOtherBCBS GROUP
138FJOtherBCBS
NC89138FJMedicaid
4536783OtherCIGNA
561884447OtherGROUP
NC890114QMedicaid
138FJOtherBCBS
0114QOtherBCBS GROUP
2262394OtherUNITED HEALTHCARE