Individual ProviderRidwan AlamStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address600 N Wolfe St, Marburg 134, Baltimore, MD 21287(410) 955-5020PECOS EnrollmentBased on the most recent information from CMS, provider Ridwan Alam is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1356731772Provider TypeIndividualFull NameAlam, RidwanCredentialMD, MPHGenderMaleSole ProprietorNoEnumeration Date1/24/2015Last Updated5/22/2019Contact InformationPractice LocationPractice Address600 N Wolfe St, Marburg 134, Baltimore, MD 21287Phone(410) 955-5020FaxUnlisted FaxMailing LocationMailing Address600 N. Wolfe St., Marburg 134, Baltimore, MD 21287Phone(410) 955-5020FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer