NPI 1215128202 · live from the CMS NPI Registry
Wahila Alam, M.D.
Family Medicine, Geriatric Medicine in Farmington, CT. National Provider Identifier 1215128202, active.
NPI record
| NPI | 1215128202 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Geriatric Medicine 207QG0300X |
| Practice location | 263 Farmington Ave, Farmington, CT 06030 |
| Practice phone | 860-679-4477 |
| Enumerated | August 6, 2007 |
| Last updated | July 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 2009-01180 (NC) |
| General Practice | 208D00000X | 2009-01180 (NC) |
| Family Medicine, Geriatric Medicine primary | 207QG0300X | 056905 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.