SHAISTA ALAM (NPI# 1700149895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700149895 |
| Entity Type | Individual |
| Full Name | SHAISTA ALAM |
| Credential | MD |
| Practice Address |
909 Walnut St Fl 2 Philadelphia PA 19107-5211 |
| Practice Telephone | 2159557952 |
| Practice Fax Number | 2155037007 |
| Mailing Telephone | 2159557952 |
| Mailing Fax Number | 2155037007 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2017-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | MT202598 | PA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD457769 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
909 WALNUT ST FL 2 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629132006 | Srinivas Kasinadhuni Prasad | Neurological Surgery | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2006-12-20 |
| 1790390813 | Methodist Associates In Healthcare, Inc | Neurological Surgery | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2020-09-15 |
| 1164046959 | Karim Basem Kareem Hafazalla | Neurological Surgery | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2020-06-08 |
| 1578192175 | Dwight Mitchell Self II | Student in an Organized Health Care Education/Training Program | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2020-04-06 |
| 1992334734 | Steven Robert Glener | Student in an Organized Health Care Education/Training Program | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2020-04-03 |
| 1881236651 | Mary Kate Maloney | Nurse Practitioner | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2019-10-14 |
| 1073179461 | Evan Monroe Fitchett | Student in an Organized Health Care Education/Training Program | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2019-05-12 |
| 1932662012 | Carrie Elizabeth Andrews | Student in an Organized Health Care Education/Training Program | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2019-04-07 |
| 1134615388 | Abigail Christine Lyon | Clinical Neuropsychologist | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2018-07-10 |
| 1730670597 | Karina Vladimirovna Burda | Psychiatry & Neurology | 909 Walnut St Fl 2, Philadelphia, PA 19107 | 2018-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060176 | Ncv Diagnostics LLC | Psychiatry & Neurology | 1 Brown St Ste C, Philadelphia, PA 19123-3361 | 2019-02-23 |
| 1982102133 | Sonia Anand-nichols Md PC | Psychiatry & Neurology | 5735 Ridge Ave Ste 101, Philadelphia, PA 19128-1746 | 2018-01-23 |
| 1205357886 | Kenneth Gross | Psychiatry & Neurology | 777 S Broad St Apt 412, Philadelphia, PA 19147-2509 | 2017-07-04 |
| 1417339409 | Leonel Jorge Favio Estofan | Psychiatry & Neurology | 245 N 15th St, 7th Floor, Philadelphia, PA 19102-1200 | 2015-06-25 |
| 1073900700 | Pavan Anil Vaswani | Psychiatry & Neurology | 330 S 9th St Fl 3, Philadelphia, PA 19107-6103 | 2015-04-21 |
| 1942613369 | Mia Chwan Ko | Psychiatry & Neurology | 5401 Old York Rd Ste 404, Philadelphia, PA 19141-3046 | 2014-06-03 |
| 1912340415 | Simy Kabaria Parikh | Psychiatry & Neurology | 900 Walnut St Ste 200, Philadelphia, PA 19107-5191 | 2013-04-15 |
| 1215295118 | Curtis Brandon Allumbaugh | Psychiatry & Neurology | 833 Chestnut St Ste 220, Philadelphia, PA 19107 | 2012-04-27 |
| 1013201870 | Enrique Aradillas Lopez | Psychiatry & Neurology | 1200 Constitution Ave Ste 110, Philadelphia, PA 19112-1323 | 2011-06-08 |
| 1598076358 | Hristelina S. Ilieva | Psychiatry & Neurology | 909 Walnut Street 2nd Floor, Philadelphia, PA 19107-3342 | 2010-06-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on SHAISTA ALAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.