Active NPI
Abdurrahman Salah Alamah, MD
- Pediatrics Physician
- Saginaw, MI
National Provider Identifier
1306987524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- AA046074
- Practice address
- 3162 Davenport Ave
Saginaw, MI 48602-3451 - Phone
- (989) 799-2197
- Fax
- (989) 799-7287
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | AA046074 | MI | Primary |
Addresses
Primary practice location
3162 Davenport Ave
Saginaw, MI 48602-3451
Mailing address
3162 Davenport Ave
Saginaw, MI 48602-3451
Phone (989) 799-2197
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 385073300571 | Other | MI | BLUE CARE NETWORK |
| 1677362 | Other | MI | MOLINA HEALTH PLAN |
| 1677362 | Medicaid | MI | |
| 1010672 | Other | MI | MCLAREN HEALTH PLAN |
| 101165 | Other | MI | GREAT LAKES |
| 3507300572 | Other | MI | BLUE CROSS BLUE SHIELD OF |
| 382625254100 | Other | MI | COMMUNITY CHOICE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA046074 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306987524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3162 DAVENPORT AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486023451",
"telephone_number": "989-799-2197",
"fax_number": "989-799-7287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3162 DAVENPORT AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486023451",
"telephone_number": "989-799-2197",
"fax_number": "989-799-7287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAMAH",
"first_name": "ABDURRAHMAN",
"middle_name": "SALAH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "AA046074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "385073300571",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH PLAN",
"identifier": "1677362",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1677362",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "1010672",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES",
"identifier": "101165",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "3507300572",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE",
"identifier": "382625254100",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.