Basic Information
Provider Information
NPI: 1205196243
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALAM
FirstName: HILMI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: 509 APPLEWOOD DR
Address2:  
City: MANHATTAN
State: KS
PostalCode: 665039810
CountryCode: US
TelephoneNumber: 7854101118
FaxNumber:  
Practice Location
Address1: DEPARTMENT OF FAMILY & COMMUNITY MEDICINE
Address2: 3601 4TH STREET, STOP 8143
City: LUBBOCK
State: TX
PostalCode: 79430
CountryCode: US
TelephoneNumber: 8067432757
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/24/2012
LastUpdateDate: 07/25/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XBP10043359TXN Allopathic & Osteopathic PhysiciansFamily Medicine 
208M00000XQ4712TXN Allopathic & Osteopathic PhysiciansHospitalist 
207Q00000XQ4712TXY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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