Individual
DR. NURUL ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 CENTRAL EXPY N, STE 2230, ALLEN, TX 75013-6103
(972) 838-1401
(972) 727-6005
Mailing address
1105 CENTRAL EXPY N, STE 2230, ALLEN, TX 75013-6103
(972) 838-1401
(972) 727-6005
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
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