Mohammed Nauman Alam
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Tulsa, OK
NPI 1366385486 · NPPES record last updated Apr 13, 2026
Key facts
- NPI
- 1366385486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 46001450 (TX)
- Practice address
- 1111 W 17TH St
Tulsa, OK 74107-1886 - Phone
- (918) 582-1972
- NPI assigned
- Apr 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46001450 | TX | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 46001450 | TX | Yes |
Addresses
Primary practice location
1111 W 17TH St
Tulsa, OK 74107-1886
Mailing address
3802 W University Blvd Apt 4205
Durant, OK 74701-3027
Phone (832) 594-6210
Other providers in Tulsa, OK
- Ahmad H Al-Shaer
- Moutasim Homod Al-Shaer
- Mary Elizabeth Alaback
- Alacrity Healthcare, LLC
- Aneela Alam
- Nasser N Alamiri
- Aderemi Alao
- Hunter Anthony Alario
- Lesly Alaves
- Valerie Alban
All providers in Tulsa, OK · Student in an Organized Health Care Education/Training Program in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.