| Doctor Name: | WAHILA ALAM |
| NPI Number: | 1215128202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 2009-01180 |
| Business Practice Address: | 3601 Sw 160th Ave Suite #250 Miramar, FL - 330276308 |
| Business Phone Number: | 9543994642 |
| Business Fax Number: | 8778598768 |
| Mailing Address: | 3601 Sw 160th Ave, Suite #250 MIRAMAR |
| State: | FL |
| Postal Code: | 330276308 |
| Phone Number: | 9543994642 |
| Fax Number: | 8778598768 |
| NPI Enumeration Date: | 08/06/2007 |
| NPI Last Update Date: | 06/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2009-01180 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |