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Contact Information

MEDHAT ALLAM, MD
365 COUNTY ROAD 39A
SUITE 11
SOUTHAMPTON, NY11968-5284
 Phone: 631-287-6202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MEDHAT ALLAM · (Male)

NPI # 1932108412
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 193888
  • NY Medicaid 01649430
  • NY Other 193888 LICENSE #
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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