Wellformed AI

NPI 1720069388 · live from the CMS NPI Registry

Masroor Alam, MD

Anesthesiology in Edgewood, KY. National Provider Identifier 1720069388, active.

NPI record

NPI1720069388 Type 1 · individual
StatusActive
Primary specialtyAnesthesiology 207L00000X
Practice location1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017
Practice phone859-341-7246
Mailing address20 Medical Village Dr, Ste 258, Edgewood, KY 41017
EnumeratedNovember 10, 2005
Last updatedSeptember 29, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology primary207L00000X36170 (KY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.