Provider Demographics
NPI:1215347430
Name:ALAM, HIBA (MD)
Entity type:Individual
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First Name:HIBA
Middle Name:
Last Name:ALAM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8580 MAGELLAN PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1149
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:866-449-0896
Practice Address - Street 1:8266 ATLEE RD STE 330
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1812
Practice Address - Country:US
Practice Address - Phone:804-325-8720
Practice Address - Fax:804-764-7351
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2021-04-23
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Provider Licenses
StateLicense IDTaxonomies
VA01012683722084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology