Individual
MOHAMMED M ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1479 S CARNELIAN ST, ANAHEIM, CA 92802-2100
(714) 290-0357
Mailing address
1479 S CARNELIAN ST, ANAHEIM, CA 92802-2100
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95035154
CA
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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