Tanvira K Alam, DO Valid NPI

Individual provider · Obstetrics & Gynecology Physician · O Fallon, MO

NPI

1265670525

Type

Individual (Type 1)

Primary specialty

Obstetrics & Gynecology Physician (Obstetrics & Gynecology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207V00000X

License number

2012028275 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2009-01-25

Last updated

2020-11-23