Individual
DR. ISLAM MOHAMED OTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, SUITE 1200, RALEIGH, NC 27610-1231
(919) 847-3164
Mailing address
1500 CONSETT CT, RALEIGH, NC 27613-8336
(919) 360-4440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
124772
NC
207RI0011X
Interventional Cardiology Physician
Primary
2007-01698
NC
Other
Enumeration date
03/27/2007
Last updated
03/14/2015
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