Shafayet Alam, DPM
Podiatrist, Foot & Ankle Surgery in Plano, TX. Individual provider (NPI-1).
NPI number1558776450
StatusActive
Last updated in NPPESJul 8, 2026
Details
- NPI
- 1558776450
- Entity type
- Individual (NPI-1)
- Name
- Shafayet Alam
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2014
- Certification date
- Jul 8, 2026
- Last updated
- Jul 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 692307 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | P121104 | NY |
Practice location
4508 Legacy Dr Ste 200Plano, TX 75024-2189
Phone 469-551-8595
Mailing address
2320 Cup DrPlano, TX 75074-2096
Phone 972-207-0368
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