Basic Information
Provider Information
NPI: 1225564834
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALAM
FirstName: DAUOOD
MiddleName: ZAFAR
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 825 DELBON AVE # ER
Address2:  
City: TURLOCK
State: CA
PostalCode: 953822016
CountryCode: US
TelephoneNumber: 2096642790
FaxNumber:  
Practice Location
Address1: 825 DELBON AVE # ER
Address2:  
City: TURLOCK
State: CA
PostalCode: 953822016
CountryCode: US
TelephoneNumber: 2096642790
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/03/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XE-12570ARN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207Q00000X2017011914MON Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XE-12570ARN Allopathic & Osteopathic PhysiciansFamily Medicine 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207P00000XA178258CAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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