MOHAMMED SHAHIDUL ISLAM


Address: 9131 175th St, Jamaica, NY 11432-5517
Phone: 7188837800

MOHAMMED SHAHIDUL ISLAM (NPI# 1992322101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992322101
Entity Type Individual
Full Name MOHAMMED SHAHIDUL ISLAM
Practice Address 9131 175th St
Jamaica
NY 11432-5517
Mailing Address 556 E 4th St Apt 3a
Brooklyn
NY 11218-4544
Practice Telephone 7188837800
Mailing Telephone 9173260630
Enumeration Date 2020-07-03
Last Update Date 2020-07-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine P105592 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY PX72542M 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
6970 Grand Central Pkwy, Forest Hills, NY 113753949 7182634600

Other Providers MOHAMMED ISLAM

NPI Name Taxonomy Address Enumeration
1174094734 Mohammed Shafayetul Islam Dentist 2610 E Nees Ave Apt 133, Fresno, CA 93720-6016 2018-12-07
1407179831 Mohammed Aminul Islam Pharmacist 7 Shetland Cir, Highland Mills, NY 10930-8303 2010-03-12
1346479953 Mohammed F Islam Registered Nurse 4308 40th St, 6d, Sunnyside, NY 11104-3830 2009-07-06
1942460670 Mohammed Mominul Islam Internal Medicine 526 Pacific Ave, Apartment Number 407, Atlantic City, NJ 08401-7662 2008-06-16
1891896551 Mohammed S Islam Pharmacist 72 Storey Ln, Yonkers, NY 10710-4412 2006-09-26
1558472977 Mohammed Nazrul Islam Psychiatry & Neurology 243 Pine St, Mount Holly, NJ 08060-2201 2006-08-31
1114938461 Mohammed Islam Internal Medicine Rbmc 530 New Brunswick Ave, Dept of Internal Medicine, Perth Amboy, NJ 08861 2006-08-11
1669415386 Mohammed Shahidul Islam Psychiatry & Neurology 2014 Charlotte Avenue, Nashville, TN 37203 2006-06-13
1245205012 Mohammed Qamrul Islam Neuromusculoskeletal Medicine & OMM 40-27, 74th Street, Elmhurst, NY 11040-2505 2006-02-23
1548729346 Mohammed Mofedul Islam Student in an Organized Health Care Education/Training Program 300 Community Dr, Manhasset, NY 11030-3816 2019-03-19

Office Location

Street Address 9131 175TH ST
City JAMAICA
State NY
Zip Code 11432-5517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013963297 Berhane Wubshet Internal Medicine 9131 175th St, Jamaica, NY 11432-5517 2006-05-26
1265063358 A S M Tazul Islam Internal Medicine 9131 175th St, Jamaica, NY 11432-5517 2020-01-28
1366914665 Deidre Alana Hamlet Licensed Practical Nurse 9131 175th St, Jamaica, NY 11432-5517 2018-12-26
1821569377 Friday Okonado Akatugba General Practice 9131 175th St, Jamaica, NY 11432-5517 2018-12-10
1205306693 Chidubem Matthew Obegolu General Practice 9131 175th St, Jamaica, NY 11432-5517 2018-11-28
1336544766 Alfred Bircaj Physician PC Internal Medicine 9131 175th St, Jamaica, NY 11432-5517 2014-10-28
1891942645 Peyman Younesi Internal Medicine 9131 175th St, Jamaica, NY 11432-5517 2008-08-23
1710050554 Highland Care Center, Inc Skilled Nursing Facility 9131 175th St, Jamaica, NY 11432-5517 2006-11-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396361259 Banani Road 11 LLC Pharmacy 181-04 Hillside Ave, Jamaica, NY 11432 2020-06-17
1023633450 Staphanie Anang Licensed Practical Nurse 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 2020-06-11
1205459476 Jasmine Kaur Sandhu Student in an Organized Health Care Education/Training Program 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 2020-05-22
1225650385 Alli El-ijla Student in an Organized Health Care Education/Training Program Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 2020-05-12
1346869955 Liane Zwetzich Student in an Organized Health Care Education/Training Program Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 2020-04-14
1528697141 Bahtiyar Toz Student in an Organized Health Care Education/Training Program 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 2020-04-06
1366089468 Alisha Jnobaptiste Counselor 87-59 171 St., Jamaica, NY 11432 2019-12-08
1356995054 Shawnette Natasha Brown Counselor 178-02/04 Jamaica Ave, Jamaica, NY 11432 2019-07-31
1518527142 Magdalene Vidal Case Manager/Care Coordinator 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 2019-06-17
1811550338 Rong Fan Student in an Organized Health Care Education/Training Program 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 2019-04-19
Find all providers in zip 11432

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598380859 Gabisa Medical Pllc Internal Medicine Jfk Terminal 4, Terminal 4 Arrivals West, Jamaica, NY 11430 2020-06-12
1194355586 United Medical Practice, P.C. Internal Medicine 17933 90th Ave, Jamaica, NY 11432-4763 2020-01-24
1942761135 Gobinda Paul Physician PC Internal Medicine 8738 168th Pl, Jamaica, NY 11432-3630 2019-03-29
1639696313 Highland Medical Care Pllc Internal Medicine 87-30 167th St, Jamaica, NY 11432-3636 2017-08-24
1952830937 Columbus Circle Medical Services PC Internal Medicine 17121 Jamaica Ave, Jamaica, NY 11432-5427 2017-06-05
1699218768 Life Health Care Medical, PC Internal Medicine 9004 Merrick Blvd, Jamaica, NY 11432-5245 2016-11-22
1962857151 Huascar Perez Torres Internal Medicine 9508 Allendale St, Jamaica, NY 11435-4430 2016-04-26
1710343652 Ms Alam Medical Care P.C. Internal Medicine 170-07 Hillside Avenue, First Floor, Jamaica, NY 11432 2016-01-07
1801286679 Baxter Medical Care PC Internal Medicine 13130a Merrick Blvd, Jamaica, NY 11434-4134 2015-01-30
1700276680 Diana Alavi Internal Medicine 8900 Van Wyck Expy # 11418, Jamaica Hospital Medical Center, Jamaica, NY 11418-2832 2015-01-29
Find all providers in JAMAICA

Competitor

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City JAMAICA
Zip Code 11432

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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