Mehruba Alam, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Glendale, AZ
NPI 1851230460 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1851230460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 18701 N 67TH Ave
Glendale, AZ 85308-7100 - Phone
- (623) 561-1000
- NPI assigned
- Mar 27, 2026
- Sex
- Female
- 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 Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
18701 N 67TH Ave
Glendale, AZ 85308-7100
Mailing address
18701 N 67TH Ave
Glendale, AZ 85308-7100
Other providers in Glendale, AZ
- Ibrahim Mohammed a Al Kohla
- Jameel Al Rubaye
- Mohamad Wissam Al-Baghdadi
- Mustafa Al-Nmki
- Stanley Chukwuma Aladi
- Leila Alamdari
- Alan Persons DMD, PC
- Eilier Alarcon Galan
- Hind Nofal Alazzeh
- Vanessa Alba
All providers in Glendale, AZ · Student in an Organized Health Care Education/Training Program in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 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.