Most Relevant Information
Provider Data
| NPI Number: | 1003326695 |
| Provider Name: | ELIE SAMIR ALAM MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/09/2017 |
| Last Updated: | 10/09/2017 |
Provider Practice Location
1611 NW 12TH AVE
MIAMI
FL
331361005
Practice Location Phone/Fax
| Phone: | 3055851111 |
| Fax: |
Provider Mailing Location
50 BISCAYNE BLVD APT 2406
MIAMI
FL
331322935
Provider Mailing Phone/Fax
| Phone: | 3053323225 |
| Fax: |