Tafish, Islam

Tafish, Islam is an individual health care provider with primary practice located at 1665 Kingsley Ave Suite 107, Orange Park FL 32073-4490. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tafish, Islam can be contacted via phone (904) 272-9981.

Contact Information

Primary practice address
1665 Kingsley Ave Suite 107 Orange Park FL 32073-4490
Phone: (904) 272-9981
Fax: (904) 272-9982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 38362 Iowa
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME124378 Florida

Profile Details

NPI number 1629175526
LBN Legal business name Tafish, Islam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 3rd, 2021 - about 3 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 1629175526 NPPES
Florida MEDICAID 015493800

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