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Individual

MOHAMMED AMIRUL ISLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3921 N TWIN CITY HWY, PORT ARTHUR, TX 77642-2118
(409) 963-0000
(409) 963-1899
Mailing address
PO BOX 951406, DALLAS, TX 75395-1406
(409) 963-0000
(409) 963-1899

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L4981
TX
207UN0901X
Nuclear Cardiology Physician
L4981
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152927301
TX
01
70125373
TX DPS
TX
01
L4981
STATE LICENSE
TX
Enumeration date
07/19/2005
Last updated
03/07/2023
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