Individual
SHAIFUL ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 ST PAUL DR STE 201, CHAMBERSBURG, PA 17201
(717) 217-6955
(717) 217-6955
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD419346
PA
207RC0000X
Cardiovascular Disease Physician
213878
NY
207RC0000X
Cardiovascular Disease Physician
Primary
MD419346
PA
207UN0901X
Nuclear Cardiology Physician
213878
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02010731
—
NY
01
—
1007307260040
MEDICAID GROUP #
PA
05
—
102183950 0001
—
PA
01
—
867633
MEDICARE GROUP #
PA
Enumeration date
07/26/2006
Last updated
09/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us