Provider Demographics
NPI:1548441348
Name:ALAM, JOSEPH SALIM (MD PSYCHIATRY)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:SALIM
Last Name:ALAM
Suffix:
Gender:M
Credentials:MD PSYCHIATRY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 MARTIN LUTHER KING JUNIOR AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032
Mailing Address - Country:US
Mailing Address - Phone:202-645-5460
Mailing Address - Fax:202-645-7377
Practice Address - Street 1:2700 MARTIN LUTHER KING JUNIOR AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032
Practice Address - Country:US
Practice Address - Phone:202-645-5696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD216672084P0800X
CAA526892084P0800X
FLME739072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry