Mohammad Ajaz Alam, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Madisonville, KY
NPI 1720928443 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1720928443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 900 Hospital Dr
Madisonville, KY 42431-1644 - Phone
- (270) 825-6680
- Fax
- (270) 825-7266
- NPI assigned
- Mar 31, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | KY | Yes |
Addresses
Primary practice location
900 Hospital Dr
Madisonville, KY 42431-1644
Mailing address
900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-6680
Other providers in Madisonville, KY
- Madeeha Ahmed
- Uqba Nawaz Ahmed
- Folaranmi Ajiboye
- Timi A Akins
- Muhammad Akram
- Johnathon Allen
- Kenneth Allen III
- Leslie Nicole Allen
- Timothy Allran
- Elizabeth A. Almes
All providers in Madisonville, KY · Student in an Organized Health Care Education/Training Program in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 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.