Active NPI
Shella Alam, PA
- Medical Physician Assistant
- Miami, FL
National Provider Identifier
1285816496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9101495
- Practice address
- 8525 SW 92ND St
Suite C10
Miami, FL 33156-7365 - Phone
- (305) 274-7800
- Fax
- (305) 270-1246
- NPI assigned
- Nov 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9101495 | FL | Primary |
Addresses
Primary practice location
8525 SW 92ND St
Suite C10
Miami, FL 33156-7365
Mailing address
8525 SW 92 St
Suite C10
Miami, FL 33156
Phone (305) 274-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1285816496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8525 SW 92 ST",
"address_2": "SUITE C10",
"city": "MIAMI",
"state": "FL",
"postal_code": "33156",
"telephone_number": "305-274-7800",
"fax_number": "305-270-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8525 SW 92ND ST",
"address_2": "SUITE C10",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567365",
"telephone_number": "305-274-7800",
"fax_number": "305-270-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAM",
"first_name": "SHELLA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9101495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.