Islam, Mohammed N.

Islam, Mohammed N. is an individual health care provider with primary practice located at 1265 Wayne Ave 119 Prof. Bldg, Suite 103, Indiana PA 15701-3501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Islam, Mohammed N. can be contacted via phone (724) 463-1046.

Contact Information

Primary practice address
1265 Wayne Ave 119 Prof. Bldg, Suite 103 Indiana PA 15701-3501
Phone: (724) 463-1046
Fax: (724) 463-2314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD436442 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD436442 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 195804 New York

Profile Details

NPI number 1750488631
LBN Legal business name Islam, Mohammed N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 23rd, 2011 - 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 1750488631 NPPES
New York MEDICAID 01663309

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