Provider Demographics
NPI:1871106906
Name:ALAMI, WIDAD HATEM
Entity type:Individual
Prefix:
First Name:WIDAD
Middle Name:HATEM
Last Name:ALAMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 OVERLOOK RD
Mailing Address - Street 2:STE B
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3319
Mailing Address - Country:US
Mailing Address - Phone:828-483-4338
Mailing Address - Fax:828-483-5808
Practice Address - Street 1:90 HAYWOOD OFFICE PARK
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28785
Practice Address - Country:US
Practice Address - Phone:828-558-4134
Practice Address - Fax:828-641-9057
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant