Individual
IMTIAZ ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3219 CENTRAL AVE, SUITE 200, KEARNEY, NE 68847-2949
(308) 865-2370
Mailing address
3219 CENTRAL AVE, SUITE 200, KEARNEY, NE 68847-2949
(308) 865-2370
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
21996
NE
Other
Enumeration date
11/22/2005
Last updated
10/18/2016
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