Individual
DR. NAZRUL ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5398 THOMASTON RD, MACON, GA 31220-8110
(478) 476-8868
Mailing address
3114 W BEVERLY BLVD, MONTEBELLO, CA 90640-2217
(310) 408-7804
(323) 726-3870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A102426
CA
Other
Enumeration date
05/04/2009
Last updated
09/18/2018
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