DR. CHARLES K ALLAM (NPI# 1770509937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770509937 |
| Entity Type | Individual |
| Full Name | DR. CHARLES K ALLAM |
| Credential | M.D. |
| Practice Address |
1400 Vfw Pkwy West Roxbury MA 02132-4927 |
| Mailing Address |
68 Cushman Rd Brighton MA 02135-2210 |
| Practice Telephone | 8572035898 |
| Practice Fax Number | 8572035623 |
| Mailing Telephone | 6177837099 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
40186 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
1400 VFW PKWY |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013903384 | Yesha Patel Barker | Emergency Medicine | 1400 Vfw Pkwy, Emergency Department, West Roxbury, MA 02132-4927 | 2005-09-22 |
| 1588279681 | Samantha Harfenist | Psychologist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-09-15 |
| 1114540341 | Elaine W Mandell | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-05-21 |
| 1154942696 | Crystal Ann Galvin | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-05-06 |
| 1972122943 | Lucia Fan Yang | Student in an Organized Health Care Education/Training Program | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-04-10 |
| 1295364917 | Andrea Moseman | Student in an Organized Health Care Education/Training Program | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-04-04 |
| 1801431010 | Jessica Fougere | Nurse Practitioner | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-11-12 |
| 1427608975 | Megan Nowak | Pharmacist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-09-17 |
| 1457906182 | Kristine Sears | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-08-08 |
| 1972156198 | William Vincent Rivelli | Respiratory Therapist, Registered | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
| 1033639943 | Nahed Lakkis | Dentist | 80 New Haven St, West Roxbury, MA 02132 | 2017-06-21 |
| 1053780692 | Yanpeng Ding | Optometrist | 2034a Centre St, West Roxbury, MA 02132 | 2015-09-24 |
| 1013303437 | Alaa Alrababa I | Dentist | 125 Edgemere Road, 202, West Roxbury, MA 02132 | 2015-04-13 |
| 1023426483 | Kearstin F. Thomas D.m.d.,pc | Dentist | 2075 Centre Street, West Roxbury, MA 02132 | 2014-07-30 |
| 1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
| 1780920223 | Kysa Christie | Psychologist | 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 | 2013-01-02 |
| 1629324652 | Mohamed Al-janabi | Dentist | 250 Spring St, Apt 18, West Roxbury, MA 02132 | 2012-07-27 |
| 1265704787 | Ronda Denise Jones | Case Manager/Care Coordinator | 2077 Centre Street, West Roxbury, MA 02132 | 2012-01-30 |
| 1306123419 | Hung Doan | Pharmacist | 1065 Truman Highway, Hyde Park, MA 02132 | 2011-11-03 |
| Find all providers in zip 02132 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295153385 | Shyam Prajapati | Pathology | 1400 Vfw Pkwy Dept Of, West Roxbury, MA 02132-4927 | 2014-04-04 |
| 1841204765 | Modur L Janardhana | Pathology | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194219261 | Alicia Gabrielle Dessain | Pathology | Tufts Medical Center - Pathology Department, 800 Washington St, Boston, MA 02111 | 2018-06-21 |
| 1043748395 | Hanqiao Zheng | Pathology | 670 Albany St Ste 4, Boston, MA 02118 | 2017-05-31 |
| 1245688977 | Seyed Amin Hojat | Pathology | 800 Washington St., Box 115, Boston, MA 02111 | 2016-06-03 |
| 1942601570 | Quantum Pathology, LLC | Pathology | 318 Bear Hill Rd, Waltham, MA 02451-1095 | 2014-09-15 |
| 1578976817 | Madhu Ouseph | Pathology | 75 Francis St # 360h, Boston, MA 02115 | 2014-06-04 |
| 1578975124 | Saja Asakrah | Pathology | 330 Brookline Ave Fl 2, Boston, MA 02215-5400 | 2014-05-29 |
| 1194061457 | Carol J Chirolas | Pathology | 199 Concord St, Newton, MA 02462-1325 | 2012-12-13 |
| 1598028409 | Austin G Turner | Pathology | 800 Washington St # 836, Boston, MA 02111-1552 | 2012-06-18 |
| 1104115559 | Anita Deshpande | Pathology | 1 Boston Medical Ctr Pl # Place3, Boston, MA 02118-2908 | 2011-04-06 |
| 1780986430 | Christa Lyn Cassalman | Pathology | 85 Prospect St Unit 1, Somerville, MA 02143-4127 | 2010-12-01 |
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| City | WEST ROXBURY |
| Zip Code | 02132 |
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| 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.