| Doctor Name: | RAFIUL SAMEER ISLAM |
| NPI Number: | 1043473820 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | BP1-0032627 |
| Business Practice Address: | 3502 9th St Suite 360 Lubbock, TX - 794153300 |
| Business Phone Number: | 8067610747 |
| Business Fax Number: | 8067610751 |
| Mailing Address: | 13400 E Shea Blvd, SCOTTSDALE |
| State: | AZ |
| Postal Code: | 852595452 |
| Phone Number: | 4803018000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2008 |
| NPI Last Update Date: | 07/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | BP1-0032627 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |