Islam, Parvez S.
Islam, Parvez S. is an sole proprietor health care provider with primary practice located at 508 Gibson Dr Suite 110, Roseville CA 95678-5794. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Islam, Parvez S. can be contacted via phone (916) 783-1080.Contact Information
Primary practice address
508 Gibson Dr Suite 110
Roseville CA 95678-5794
Phone: (916) 783-1080
Fax: (916) 783-1090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C51863 | California |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | C51863 | California |
Profile Details
| NPI number | 1477631109 |
|---|---|
| LBN Legal business name | Islam, Parvez S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Nov 15th, 2016 - about 9 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 | 1477631109 | NPPES |
| California | MEDICAID | 00C518630 |
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