Islam, Fatema T
Islam, Fatema T is an individual health care provider with primary practice located at 599 Farmington Ave , Farmington CT 06032-2381. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Islam, Fatema T can be contacted via phone (860) 284-4945.Contact Information
Primary practice address
599 Farmington Ave
Farmington CT 06032-2381
Phone: (860) 284-4945
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 237529 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 72102 | Connecticut |
Profile Details
| NPI number | 1265538516 |
|---|---|
| LBN Legal business name | Islam, Fatema T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265538516 | NPPES |
| New York | Other | 237529 | DOH |
| New York | MEDICAID | 237529 | DOH |
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