Tanvira K Alam, DO
Obstetrics & Gynecology in O Fallon, MO. Individual provider (NPI-1).
NPI number1265670525
StatusActive
Last updated in NPPESNov 23, 2020
Details
- NPI
- 1265670525
- Entity type
- Individual (NPI-1)
- Name
- Tanvira K Alam
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2009
- Certification date
- Nov 23, 2020
- Last updated
- Nov 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2012028275 | MO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Tanvira Alam (Other Name)
Practice location
1101 Highway KO Fallon, MO 63366-8431
Phone 636-379-6363
Mailing address
Po Box 955534Saint Louis, MO 63195-5534
Other practice locations
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All 20 Obstetrics & Gynecology Physician providers in O Fallon · All 1,566 providers in O Fallon
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