Islam, M. Siraj Ul

Islam, M. Siraj Ul is an individual health care provider with primary practice located at 710 Oak Commons Blvd , Kissimmee FL 34741-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Islam, M. Siraj Ul can be contacted via phone (407) 518-1199.

Contact Information

Primary practice address
710 Oak Commons Blvd Kissimmee FL 34741-4100
Fax: (407) 569-1201
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0048529 Florida

Profile Details

NPI number 1699719187
LBN Legal business name Islam, M. Siraj Ul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 19th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699719187 NPPES
Florida MEDICAID 045481800

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