Individual
DR. NURUL MOHAMMED ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 PARK CREEK DR, GREENVILLE VA OUTPATIENT CLINIC, GREENVILLE, SC 29605-4270
(864) 299-1600
Mailing address
41 PARK CREEK DR, GREENVILLE VA OUTPATIENT CLINIC, GREENVILLE, SC 29605-4270
(864) 299-1600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01057305A
IN
207Q00000X
Family Medicine Physician
Primary
229085
NY
Other
Enumeration date
10/02/2006
Last updated
02/28/2017
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