Individual
DR. NIGEL ISLAM
Active
Individual
DR. NIGEL ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01050897A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373088
ANTHEM PROVIDER#
IN
05
—
100180890G
—
IN
05
—
200331220
—
IN
01
—
CH6490
GROUP # IN RAILROAD
IN
01
—
P00266485
IN RAILROAD MCR#
IN
Enumeration date
06/08/2006
Last updated
01/03/2018
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