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

Individual provider Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1700149895

Shaista Alam, MD is a Neurology in Philadelphia, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2012
Specialties on file
2
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

909 Walnut St Fl 2
Philadelphia, PA 19107-5211
Phone: (215) 955-7952
Fax: (215) 503-7007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD457769 (PA)
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X · Licence MT202598 (PA)

Record details

NPI number1700149895
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2012
Last updated in NPPESOctober 27, 2017
Mailing address909 Walnut St Fl 2, Philadelphia, PA 19107-5211

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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