Provider Demographics
NPI:1427552421
Name:ALAM, NAIMUL (MD)
Entity type:Individual
Prefix:
First Name:NAIMUL
Middle Name:
Last Name:ALAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20375 W 151ST ST STE 301
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7207
Mailing Address - Country:US
Mailing Address - Phone:913-588-0347
Mailing Address - Fax:913-588-6055
Practice Address - Street 1:20375 W 151ST ST STE 301
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7207
Practice Address - Country:US
Practice Address - Phone:913-588-0347
Practice Address - Fax:913-588-6055
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA165473208D00000X
KS9412201207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice