Organization
MQISLAM MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED ISLAM MD (OWNER)
(606) 439-2662
Entity
Organization
Contact information
Practice address
1908 N MAIN ST, SUITE 230, HAZARD, KY 41701-2505
(606) 439-2662
(606) 439-0612
Mailing address
1908 N MAIN ST, SUITE 230, HAZARD, KY 41701-2505
(606) 439-2662
(606) 439-0612
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
36373
KY
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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