Islam, Rezaul

Islam, Rezaul is an individual health care provider with primary practice located at 3100 Forsythe Ave , Monroe LA 71201-3014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Islam, Rezaul can be contacted via phone (318) 699-0505.

Contact Information

Primary practice address
3100 Forsythe Ave Monroe LA 71201-3014
Phone: (318) 699-0505
Fax: (318) 699-0506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 12313R Louisiana

Profile Details

NPI number 1841237286
LBN Legal business name Islam, Rezaul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Apr 22nd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841237286 NPPES
Louisiana MEDICAID 1542377

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