Individual
MAHNOOR ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.B.B.S.
Contact information
Practice address
96 JONATHAN LUCAS ST., MSC 606, MEDICAL UNIVERSITY OF SOUTH CAROLINA PROGRAM, CHARLESTON, SC 29425
(843) 792-3221
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
LL88361
SC
Other
Enumeration date
06/06/2022
Last updated
07/28/2022
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