| Anwarul Islam Md Pc | |
|
637b Kingsborough Sq Chesapeake VA 23320 | |
| (757) 547-4448 | |
| (757) 547-7557 |
| Full Name | Anwarul Islam Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 637b Kingsborough Sq, Chesapeake, Virginia |
| Authorized Official Name and Position | Anwarul Islam (ANWARUL ISLAM MD PC) |
| Authorized Official Contact | 7575474448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anwarul Islam Md Pc Po Box 1712 Chesapeake VA 23327 Ph: (757) 547-4448 | Anwarul Islam Md Pc 637b Kingsborough Sq Chesapeake VA 23320 Ph: (757) 547-4448 |
| NPI Number | 1386717452 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 12/07/2007 |
| Medicare PECOS PAC ID | 6901976422 |
|---|---|
| Medicare Enrollment ID | O20090311000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386717452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101034458 (Virginia) | Primary |
| Provider Name | Anwarul Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215948872 PECOS PAC ID: 5991861254 Enrollment ID: I20090311000645 |
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