Kazi M Islam, MD is a
Pediatrics physician based in Lansdowne, Pennsylvania. Kazi M Islam is licensed to practice in Pennsylvania (license number MD051940L) and his current practice location is 23 E La Crosse Ave, Lansdowne, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(610) 394-2130.
NPI number for Kazi M Islam is 1982798302 and his current mailing address is 1025 Capie Polk Drive, Springfield, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982798302.
Physician's Profile
| Full Name | Kazi M Islam |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 23 E La Crosse Ave, Lansdowne, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982798302
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 06/14/2019
Medical Identifiers
Medical identifiers for Kazi M Islam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982798302 | NPI | - | NPPES |
| 1466911 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD051940L (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kazi M Islam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kazi M Islam, MD
1025 Capie Polk Drive,
Springfield, PA 19064
Ph: (610) 544-1512 | Kazi M Islam, MD
23 E La Crosse Ave,
Lansdowne, PA 19050-2002
Ph: (610) 394-2130 |
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