Individual
TAHIYA ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(423) 426-3918
Mailing address
13500 CHENAL PKWY APT 3023, LITTLE ROCK, AR 72211-5206
(870) 540-6370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085010409
IL
363A00000X
Physician Assistant
Primary
—
AR
Other
Enumeration date
09/16/2022
Last updated
07/02/2025
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