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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841237286 | NPPES |
| Louisiana | MEDICAID | 1542377 |
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