Basic Information
Provider Information
NPI: 1811425184
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALAMI
FirstName: ZAHRA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 44405 WOODWARD AVE, H-23
Address2:  
City: PONTIAC
State: MI
PostalCode: 48341
CountryCode: US
TelephoneNumber: 2488583000
FaxNumber:  
Practice Location
Address1: 50 N PERRY ST
Address2:  
City: PONTIAC
State: MI
PostalCode: 483422217
CountryCode: US
TelephoneNumber: 2483385645
FaxNumber: 2483385547
Other Information
ProviderEnumerationDate: 05/31/2017
LastUpdateDate: 08/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X4351033583MIY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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