Provider Demographics
NPI:1306987524
Name:ALAMAH, ABDURRAHMAN SALAH (MD)
Entity type:Individual
Prefix:
First Name:ABDURRAHMAN
Middle Name:SALAH
Last Name:ALAMAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3162 DAVENPORT AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-3451
Mailing Address - Country:US
Mailing Address - Phone:989-799-2197
Mailing Address - Fax:989-799-7287
Practice Address - Street 1:3162 DAVENPORT AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-3451
Practice Address - Country:US
Practice Address - Phone:989-799-2197
Practice Address - Fax:989-799-7287
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAA046074208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI382625254100OtherCOMMUNITY CHOICE
MI101165OtherGREAT LAKES
MI1677362OtherMOLINA HEALTH PLAN
MI1677362Medicaid
MI385073300571OtherBLUE CARE NETWORK
MI3507300572OtherBLUE CROSS BLUE SHIELD OF
MI1010672OtherMCLAREN HEALTH PLAN
MI3507300572OtherBLUE CROSS BLUE SHIELD OF