Individual
NAHID ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
321 HIGHWAY 13 S, MORTON, MS 39117-3353
(601) 732-8612
Mailing address
PO BOX 2065, MERIDIAN, MS 39302-2065
(601) 732-8612
(601) 732-1957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21252
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05109210
—
MS
Enumeration date
07/19/2007
Last updated
12/14/2016
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