Individual
MOHAMMAD SHAHIDUL ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4012 82ND ST, 2ND FLOOR, ELMHURST, NY 11373-1305
(347) 218-1827
Mailing address
23 RAYMOND CT, GARDEN CITY, NY 11530-4707
(516) 414-3550
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
231649
NY
Other
Enumeration date
07/13/2006
Last updated
03/27/2015
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