NPIMap

Organization Active NPI

Sarfraz a Islam MD

  • Internal Medicine Physician
  • North Port, FL
National Provider Identifier
1477589828
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MR29005 Issued in FL
Legal business name
SARFRAZ A ISLAM MD
Practice address
14575 Tamiami Trail
North Port, FL 34287
Phone
(941) 426-4448
Fax
(941) 625-1275
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Sarfraz A Islam, MDNPI 1285687434
Title
Owner Physican
Phone
(941) 426-4448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MR29005 FL Primary

Addresses

Primary practice location

14575 Tamiami Trail
North Port, FL 34287

Mailing address

14575 Tamiami Trail
North Port, FL 34287
Phone (941) 426-4448

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1477589828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 TAMIAMI TRAIL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34287",
            "telephone_number": "941-426-4448",
            "fax_number": "941-625-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 TAMIAMI TRAIL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34287",
            "telephone_number": "941-426-4448",
            "fax_number": "941-625-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARFRAZ A ISLAM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "SARFRAZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICAN",
        "authorized_official_telephone_number": "941-426-4448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "MR29005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.