NPI 1780654988 · live from the CMS NPI Registry
Shayan Alam, M.D.
Internal Medicine, Gastroenterology in Prescott, AZ. National Provider Identifier 1780654988, active.
NPI record
| NPI | 1780654988 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 802 Ainsworth Dr Ste A, Prescott, AZ 86301 |
| Practice phone | 928-771-5548 |
| Mailing address | Po Box 10880, Prescott, AZ 86304 |
| Enumerated | January 23, 2006 |
| Last updated | September 29, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | a106779 (CA) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 36010 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.