# MOHAMMED QAMRUL ISLAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245205012
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 248033 | NY | Yes |

## Other

- **Enumeration date:** 02/23/2006
- **Last updated:** 07/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A100092321 | MEDICARE GROUP | NY |
| 01 | — | A400092328 | MEDICARE | NY |