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Individual

MUHAMMAD MUHAMMAD ISLAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1655 BERNARDIN AVE, SUITE 200, COLUMBIA, SC 29204-2039
(803) 256-1137
(803) 256-1138
Mailing address
PO BOX 50183, COLUMBIA, SC 29250-0183
(803) 256-1137
(803) 256-1138

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
17200
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172002
SC
01
P00361759
MEDICARE RR
SC
Enumeration date
10/12/2006
Last updated
01/02/2008
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