Islam, Raquibul
Islam, Raquibul is an individual health care provider with primary practice located at 125 E 9Th St , Chester PA 19013-6019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Islam, Raquibul can be contacted via phone (671) 872-6131.Contact Information
Primary practice address
125 E 9Th St
Chester PA 19013-6019
Phone: (671) 872-6131
Fax: (610) 872-5128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD062423L | Pennsylvania |
Profile Details
| NPI number | 1174577035 |
|---|---|
| LBN Legal business name | Islam, Raquibul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jul 29th, 2013 - about 11 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 | 1174577035 | NPPES |
| Pennsylvania | MEDICAID | 0016718790005 |
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