Muhammad A Alam, MD
Individual provider Active NPI Psychiatry Physician · Goodyear, AZ
NPI 1982714366 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1982714366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 34472 (AZ)
- Practice address
- 14539 W Indian School Rd Ste 800
Goodyear, AZ 85395-9279 - Phone
- (623) 882-3364
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051011000823 | AZ | Practitioner - Psychiatry | 3274590203 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34472 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda McCandless, DO, Inc. | Psychiatry | Current |
Accepting new patients |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients |
Locations
14539 W Indian School Rd
Ste 800
Goodyear, AZ 85395
Phone (623) 882-3364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 34472 | AZ | Yes |
Addresses
Primary practice location
14539 W Indian School Rd Ste 800
Goodyear, AZ 85395-9279
Mailing address
14539 W Indian School Rd Ste 800
Goodyear, AZ 85395-9279
Phone (623) 882-3364
Other providers in Goodyear, AZ
- Philip Rhanis Ajueshi
- Akdhc, LLC
- Mays Al Dulaimi
- Mustafa Al-Ogaili
- Alam, LLC
- Marianne Antony Alapatt
- Rabiha Alathman
- Emily Alden
- Lucas Alexander
- Mirabella Alexandru
All providers in Goodyear, AZ · Psychiatry Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.