Mohammed Islam, MD is a
Emergency Medicine physician based in Sullivan, Missouri. Mohammed Islam is licensed to practice in Missouri (license number 33113) and his current practice location is 751 Sappington Bridge Rd, Sullivan, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 468-4186.
NPI number for Mohammed Islam is 1699792234 and his current mailing address is 75 Remitt Drive, Lockbox 1964, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699792234.
Physician's Profile
Full Name | Mohammed Islam |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 751 Sappington Bridge Rd, Sullivan, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699792234
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 02/08/2008
Medical Identifiers
Medical identifiers for Mohammed Islam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699792234 | NPI | - | NPPES |
203230933 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 33113 (Missouri) | 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. Mohammed 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 |
Mohammed Islam, MD 75 Remitt Drive, Lockbox 1964, Chicago, IL 60675-1964 Ph: (866) 916-5259 | Mohammed Islam, MD 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 Ph: (573) 468-4186 |
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