Provider Demographics
NPI:1538973557
Name:ALAM, MD ZAHIRUL (RN)
Entity type:Individual
Prefix:
First Name:MD
Middle Name:ZAHIRUL
Last Name:ALAM
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16102 NORMAL RD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3446
Mailing Address - Country:US
Mailing Address - Phone:929-350-8959
Mailing Address - Fax:
Practice Address - Street 1:16102 NORMAL RD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3446
Practice Address - Country:US
Practice Address - Phone:929-350-8959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY762672-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse