SYED MOZAMMIL ALAM MD
NPI 1104520758
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Syed Alam's NPI number?

The NPI number for Syed Alam is 1104520758. It was assigned to this individual provider in the NPPES registry on March 28, 2023. The provider is also known as Mozammil Syed Alam MD.

Q: What is Syed Alam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Syed Alam was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2023PECOS Enrolled

755 E MCDOWELL RD FL 3, PHOENIX, AZ 85006(602) 521-3300 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Syed Mozammil Alam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYED MOZAMMIL ALAM MD (NPI 1104520758) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104520758

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSYED MOZAMMIL ALAMCredential: MD

Location Address755 E MCDOWELL RD FL 3Phoenix, AZ 85006-2506

Mailing Address755 E Mcdowell Rd Fl 3Phoenix, AZ 85006-2506 · (602) 521-3300

Phone(602) 521-3300

Sole ProprietorNo

Enumeration DateMarch 28, 2023

NPPES CertifiedMarch 28, 2023

✔ NPI 1104520758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

755 E MCDOWELL RD FL 3, Phoenix, AZ 85006

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Other Names 1

Other Name (5)Mozammil Syed Alam Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Syed Mozammil Alam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KINSEY JEAN GUDENKAUF

Student in an Organized Health Care Education/Training Program