Doctor Name: | BILAL ISLAM |
NPI Number: | 1124361431 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1600 Spring Hill Ave Shac 3414 Mobile, AL - 366041414 |
Business Phone Number: | 2514343475 |
Business Fax Number: | 2514343837 |
Mailing Address: | 1600 Spring Hill Ave, Shac 3414 MOBILE |
State: | AL |
Postal Code: | 366041414 |
Phone Number: | 2514343475 |
Fax Number: | 2514343837 |
NPI Enumeration Date: | 04/04/2013 |
NPI Last Update Date: | 04/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |