A S M Tazul Islam, MD | |
9131 175th St, Jamaica, NY 11432-5517 | |
(718) 657-6363 | |
Not Available |
Full Name | A S M Tazul Islam |
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Gender | Male |
Speciality | Internal Medicine |
Location | 9131 175th St, Jamaica, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265063358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 104094 (New York) | Primary |
Entity Name | Nys Medical Associate Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104268572 PECOS PAC ID: 8022243492 Enrollment ID: O20131021001887 |
Mailing Address | Practice Location Address |
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A S M Tazul Islam, MD 17810 Wexford Ter Apt 4r, Jamaica, NY 11432-3014 Ph: (347) 820-5051 | A S M Tazul Islam, MD 9131 175th St, Jamaica, NY 11432-5517 Ph: (718) 657-6363 |
Dr. David Mallin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Jhmc Er, Jamaica, NY 11418 Phone: 718-206-6000 | |
Mark Safford, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8268 164th St, A-368, Jamaica, NY 11432 Phone: 718-883-4653 | |
Julie Patel-pannullo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180-05 Hillside Ave, Jamaica, NY 11432 Phone: 718-526-6300 Fax: 718-262-7064 | |
Dr. Berhane Wubshet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9131 175th St, Jamaica, NY 11432 Phone: 718-657-6363 | |
Dr. Rom M Gupta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17561 Hillside Ave Ste 402, Jamaica, NY 11432 Phone: 718-291-0488 Fax: 718-291-0888 | |
Dr. Babu M Joseph, M.D Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 10753 Guy R Brewer Blvd, Jamaica, NY 11433 Phone: 718-523-5776 Fax: 718-526-1132 | |
Sailaja Sivareddy, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8924 146th St, Jamaica, NY 11435 Phone: 718-715-1764 Fax: 718-885-9311 |