Alam, Khondoker
Alam, Khondoker is an individual health care provider with primary practice located at 3506 21St St Ste 400 , Lubbock TX 79410-1200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Alam, Khondoker can be contacted via phone (806) 725-4115.Contact Information
Primary practice address
3506 21St St Ste 400
Lubbock TX 79410-1200
Phone: (806) 725-4115
Fax: (806) 723-7007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | BP10052507 | Texas |
Profile Details
| NPI number | 1992185201 |
|---|---|
| LBN Legal business name | Alam, Khondoker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2015 |
| Last updated | Sep 15th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992185201 | NPPES |
| Texas | MEDICAID | 414068301 | |
| Texas | Other | 1F4352 | |
| Texas | Other | 8MY723 |
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