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Dr. Shayan Alam, MD
Specialist in Prescott, Arizona
NPI 1780654988

Shayan Alam is a Specialist based in Prescott, AZ. Shayan Alam practices in Prescott, AZ and has the professional credentials of MD. The NPI Number for Shayan Alam is 1780654988 and holds a License No. 36010 (Arizona).

The current practice location address for Shayan Alam is 810 Ainsworth Dr, Prescott, AZ and can be reached out via phone at 928-771-5548 and via fax at 928-771-5549.

Location: 810 Ainsworth Dr, Prescott, AZ, 86304-0880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780654988
Provider Name
Shayan Alam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
810 Ainsworth Dr, Prescott, AZ, 86304-0880
Phone Number
928-771-5548
Fax Number
928-771-5549
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
344207 05 AZ
institution
Provider Business Practice Location Address Details
Address
810 Ainsworth Dr
City
Prescott
State
Arizona
Zip
86301-1612
Phone Number
928-771-5548
Fax Number
928-771-5549
person
Provider Business Mailing Address Details
Address
810 Ainsworth Dr
City
Prescott
State
Arizona
Zip
86301-1612
Phone Number
928-771-5548
Fax Number
928-771-5549
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A106779 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
36010 (Arizona)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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