Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallick Qaiser Alam, MD

Individual provider General Practice Physician · NPI 1467529271

Mallick Qaiser Alam, MD is a Family Practice in New Haven, Connecticut. Qualified in 1986, 40 years ago. Accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
40
Licensed in
CT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

77 Grand Ave
New Haven, CT 06513-3906
Phone: (203) 562-8697
Fax: (203) 562-1822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 034112 (CT)

Record details

NPI number1467529271
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 8, 2007
Mailing address77 Grand Ave, New Haven, CT 06513-3906

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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