Individual
NAFISA ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
187 BRUNS DR, BROOKVILLE, OH 45309-1112
(937) 838-4928
Mailing address
187 BRUNS DR, BROOKVILLE, OH 45309-1112
(937) 838-4928
(937) 838-4928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
094840
OH
Other
Enumeration date
05/16/2007
Last updated
03/05/2020
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