Provider Demographics
NPI:1962908426
Name:ALAM, MOHAMMAD ROHEEL (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:ROHEEL
Last Name:ALAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2700 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5899
Mailing Address - Country:US
Mailing Address - Phone:682-242-2000
Mailing Address - Fax:
Practice Address - Street 1:4987 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5072
Practice Address - Country:US
Practice Address - Phone:214-548-5033
Practice Address - Fax:855-583-0626
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.42867207Q00000X
TXMD.42867207Q00000X
TXT4877207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine