KHONDOKER ALAM (NPI# 1992185201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992185201 |
| Entity Type | Individual |
| Full Name | KHONDOKER ALAM |
| Credential | M.D |
| Practice Address |
3506 21st St Ste 400 Lubbock TX 79410-1200 |
| Mailing Address |
2215 Nashville Ave Lubbock TX 79410-1105 |
| Practice Telephone | 8067254115 |
| Practice Fax Number | 8067237007 |
| Mailing Telephone | 8067255844 |
| Mailing Fax Number | 8067236532 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
BP10052507 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8MY723 | 01 |
| TX | 414068301 | 05 | |
| TX | MEDICARE | 1F4352 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 4th St, Stop 8321, Lubbock, TX 794300002 | 8067432391 | 8067435687 |
| Street Address |
3506 21ST ST STE 400 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578896056 | Valerie Meghan Johnson | Psychologist | 3506 21st St Ste 400, Lubbock, TX 79410-1200 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619383056 | Doungporn Ruthirago | Psychiatry & Neurology | 3601 4th St Stop 8321, Department of Neurology, Lubbock, TX 79430-8321 | 2014-07-07 |
| 1528259900 | Benjamin J. Williams Md, Phd, Pa | Psychiatry & Neurology | 4642 N Loop 289 Ste 203, Lubbock, TX 79416-2424 | 2007-08-09 |
| 1033281373 | Annie Lincoln | Psychiatry & Neurology | 2310 Indiana Ave, Lubbock, TX 79410-2142 | 2006-11-14 |
| 1649363326 | Health and Human Services Commission | Psychiatry & Neurology | 3401 N University Ave, Lubbock, TX 79415-1734 | 2006-10-02 |
| 1306822242 | Jongyeol Kim | Psychiatry & Neurology | 3601 4th St # Ms 8321, Lubbock, TX 79430-0002 | 2005-12-22 |
| 1609369990 | Jie Pan | Psychiatry & Neurology | 3601 4th St Stop 8321, Lubbock, TX 79430-8321 | 2018-06-11 |
| 1619497161 | Smathorn Thakolwiboon | Psychiatry & Neurology | 3601 4th St Stop 8321, Lubbock, TX 79430-8321 | 2017-06-26 |
| 1053831693 | Dargelis Chi | Psychiatry & Neurology | 3601 4th St Stop 8321, Lubbock, TX 79430-8321 | 2017-06-25 |
| 1508310111 | Dongkwan Jin | Psychiatry & Neurology | 3601 4th St, Ttuhsc, Department of Neurology, Lubbock, TX 79430-8321 | 2016-08-11 |
| 1770036881 | Juliana Bertha D Gomez Abanto | Psychiatry & Neurology | 3601 4th St Stop 8321, Lubbock, TX 79430-8321 | 2016-07-26 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.