Shamim Islam
MD | Pediatrics | Female
Shamim Islam, MD is a Waterford, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shamim Islam is
4186 Pontiac Lake Rd, Waterford, Michigan - 48328-1258. She can be contacted on phone at
248-674-7337 and fax number 248-674-7335.
Shamim Islam is a sole proprietor of her business.
NPI number (Unique professional ID) for Shamim Islam is
1730187592 which was assigned by NPPES on 14 Jul, 2005 and it was last updated on 14 Aug, 2013.
Shamim Islam license number is
SI075290 for Pediatrics (208000000X) in Michigan.
Shamim Islam is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shamim Islam basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shamim Islam |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Shamim Islam address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4186 Pontiac Lake Rd
Waterford, MI, 48328-1258
United States |
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| Phone Number : | 248-674-7337 |
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| Fax Number : | 248-674-7335 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730187592 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Jul, 2005 |
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| Last Updated On : | 14 Aug, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shamim Islam are as mentioned. Primary taxonomy code for Shamim Islam, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | SI075290 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Shamim Islam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4177672 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4186 Pontiac Lake Rd
Waterford, MI, 48328-1258
United States |
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| Phone Number : | 248-674-7337 |
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| Fax Number : | 248-674-7335 |
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Business Location:
Patients can refer following map for directions to
Shamim Islam practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.