Anwarul Islam MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101034458 Issued in VA

Legal business name

ANWARUL ISLAM MD PC

Practice address

637B Kingsborough SQ
Chesapeake, VA 23320

Phone

(757) 547-4448

Fax

(757) 547-7557

NPI assigned

Nov 16, 2006

Last updated

Dec 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anwarul Islam, MDNPI 1215948872

Title

Anwarul Islam MD PC

Phone

(757) 547-4448

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anwarul Islam, MD

  • Internal Medicine Physician
  • Chesapeake, VA
  • NPI 1215948872
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1386717452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1712",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23327",
            "telephone_number": "757-547-4448",
            "fax_number": "757-547-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637B KINGSBOROUGH SQ",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-547-4448",
            "fax_number": "757-547-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANWARUL ISLAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "ANWARUL",
        "authorized_official_title_or_position": "ANWARUL ISLAM MD PC",
        "authorized_official_telephone_number": "757-547-4448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101034458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.