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Individual

MUHTADI ISLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-5000
(413) 794-0715
Mailing address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-5000

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
1015763
MA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
1015763
MA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
4301506659
MI

Other

Enumeration date
07/08/2018
Last updated
08/01/2023
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