Nazrul Islam M.D, P.a

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

L5384 Issued in TX

Legal business name

NAZRUL ISLAM M.D, P.A

Practice address

1600 W 38TH St
415
Austin, TX 78731-6400

Phone

(512) 371-7905

Fax

(512) 371-9866

NPI assigned

Mar 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rachel Salina Hicks

Title

Clinical Coordinator

Phone

(512) 371-7905

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Nazrul Islam MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nazrul Islam MD, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1306024799
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nazrul Islam, M.D., PA.

  • Psychiatry Physician
  • Austin, TX
  • NPI 1154433431
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1316212855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST",
            "address_2": "415",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316400",
            "telephone_number": "512-371-7905",
            "fax_number": "512-371-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST",
            "address_2": "415",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316400",
            "telephone_number": "512-371-7905",
            "fax_number": "512-371-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZRUL ISLAM M.D, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "SALINA",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "512-371-7905"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L5384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0056MH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-GROUP",
            "identifier": "0001XM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shilpa Vivek Nayak
• Susan Nazar, LPC
• Elinore Angelica Nazareno, LMSW
• Nazcare LLC
• Hannah Elysse Nazir, LMSW
• Nazrul Islam MD, PA
• NCM Pas, LLC
• ND Community Supports, Inc.
• Roland Ndebangwen
• Hannah Nyokabi Ndika, LPC

• Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.