Active NPI
Sameer Islam MD PA
- Gastroenterology Physician
- Lubbock, TX
National Provider Identifier
1427690981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- SAMEER ISLAM MD PA
- Practice address
- 3502 9TH St Ste 360
Lubbock, TX 79415-5304 - Phone
- (806) 414-2783
- NPI assigned
- Oct 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sameer Islam, MD
- Title
- Owner
- Phone
- (806) 414-2783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
3502 9TH St Ste 360
Lubbock, TX 79415-5304
Mailing address
PO Box 98013
Lubbock, TX 79499-8013
Phone (806) 414-2783
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577664000000",
"number": "1427690981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98013",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794998013",
"telephone_number": "806-414-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 9TH ST STE 360",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794155304",
"telephone_number": "806-414-2783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMEER ISLAM MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-16",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A",
"authorized_official_last_name": "ISLAM",
"authorized_official_first_name": "SAMEER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "806-414-2783",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.