# DR. ISLAM MOHAMED SHATLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750943643
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 04-46397 | KS | — |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | W5560 | TX | Yes |
| 207RC0000X | Cardiovascular Disease Physician | MD20593 | RI | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | 2019018926 | MO | — |

## Other

- **Enumeration date:** 07/01/2019
- **Last updated:** 06/12/2026