Active NPIIndividual provider

Wahila Alam, MD

Family Medicine, Geriatric Medicine in Farmington, Connecticut

NPI Number1215128202
Practice location
263 Farmington Ave, Farmington, CT 06030-8082
Fax
860-679-8770
Last updated
July 11, 2022

Wahila Alam is a Family Medicine, Geriatric Medicine based in Farmington, CT. Wahila Alam practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Wahila Alam is 1215128202 and holds a License No. 2009-01180 (NC). The current practice location address for Wahila Alam is 263 Farmington Ave, Farmington, CT 06030-8082 and can be reached out via phone at 860-679-4477 and via fax at 860-679-8770.

Provider Profile Details

NPI Number
1215128202
Provider Name
Wahila Alam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
263 Farmington Ave, Farmington, CT 06030-8082
Phone Number
860-679-4477
Fax Number
860-679-8770
Primary Taxonomy
Family Medicine, Geriatric Medicine · 207QG0300X
Sole Proprietor
No
Provider Enumeration Date
August 6, 2007
Last Update Date
July 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
263 Farmington Ave
Farmington, CT 06030-8082
Zip
06030-8082
Phone Number
860-679-4477
Fax Number
860-679-8770
Farmington, CT 06030Get directions →

Provider Business Mailing Address Details

Address
263 Farmington Ave
Farmington, CT 06030-8082
City
Farmington
State
CT
Zip
06030-8082
Phone Number
860-679-4477
Fax Number
860-679-8770

License Information

License Number (1)
2009-01180
License State (1)
NC
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
2009-01180
License State (2)
NC
Taxonomy (2)
General Practice · 208D00000X
License Number (3)
056905
License State (3)
CT
Taxonomy (3)
Family Medicine, Geriatric Medicine · 207QG0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wahila Alam, MD?

The NPI number of Wahila Alam, MD is 1215128202. It was assigned on August 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Wahila Alam, MD?

Wahila Alam, MD is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in NC under license number 2009-01180.

Where does Wahila Alam, MD practice?

The practice location is 263 Farmington Ave, Farmington, CT 06030-8082. The office can be reached at 860-679-4477 (phone) or 860-679-8770 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215128202 directly on the NPPES registry website.

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