Individual provider · NPI-1
Reem Mabu Alam, MD
Family Medicine · Olathe, KS
NPI number1134913874
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1134913874
- Entity type
- Individual (NPI-1)
- Name
- Reem Mabu Alam
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2025
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 94-12164 | KS | Yes |
Practice location
15435 W 134th Pl Ste 103Olathe, KS 66062-6135
Phone 913-355-7515
Mailing address
15435 W 134th Pl Ste 103Olathe, KS 66062-6135
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