Dr. Imtiaz Alam MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

K3057 Issued in TX

Legal business name

DR. IMTIAZ ALAM MD, PA

Practice address

2200 Park Bend Dr
BLDG 1 Ste300
Austin, TX 78758-5368

Phone

(512) 719-4370

Fax

(512) 719-4371

NPI assigned

Jun 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Elizabeth Ashton

Title

Office Manager

Phone

(512) 719-4370

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Meadows, RN, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Austin, TX
  • NPI 1528253739
  NPD (past)
• Amanda L. Mishra, CNS

  • Clinical Nurse Specialist
  • Austin, TX
  • NPI 1497828693
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1497950091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLDG 1 STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-719-4370",
            "fax_number": "512-719-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLDG 1 STE300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585368",
            "telephone_number": "512-719-4370",
            "fax_number": "512-719-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. IMTIAZ ALAM MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "ASHTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-719-4370",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Derik Sanders, D.C. LLC
• Dr. Eric Frey, PC
• Dr. Eric Tiblier, P.a.
• Dr. Evans Exclusive Health & Wellness
• Dr. Grant Glauser DDS PLLC
• Dr. Jillian Racine
• Dr. Jillian Racine PLLC
• Dr. Jim G. Tyree, PC
• Dr. Kimberly Garrison, PLLC
• Dr. Marc Amsili

• Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.