Individual
DR. NURUL ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L3690
TX
208000000X
Pediatrics Physician
Primary
L3690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10019042
AMERIGROUP
TX
05
—
174164701
—
TX
05
—
174164702
—
TX
05
—
174164704
—
TX
05
—
174164705
—
TX
01
—
17556
PARKLAND
TX
01
—
8V2170
BCBS
TX
Enumeration date
10/24/2005
Last updated
02/03/2009
Update your record
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