Individual
MONICA P. ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 E BROAD ST, RICHMOND, VA 23219-1930
(804) 828-2467
(804) 628-5854
Mailing address
PO BOX 980503, RICHMOND, VA 23298-0503
(804) 628-6002
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35094812
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
35094812
OH
2084N0600X
Clinical Neurophysiology Physician
35094812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3019790
—
OH
01
—
4284581
CGS - MEDICARE
OH
Enumeration date
08/22/2006
Last updated
09/05/2024
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