Organization Active NPI

Nahid Islam Incorporation

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1740227024
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12694R Issued in LA
Legal business name
NAHID ISLAM INCORPORATION
Practice address
3100 Forsythe Ave
Suite B
Monroe, LA 71201-3014
Phone
(318) 699-0580
Fax
(318) 699-0506
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Nahid Islam, MD
Title
MD
Phone
(318) 699-0580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 12694R LA Primary

Addresses

Primary practice location

3100 Forsythe Ave
Suite B
Monroe, LA 71201-3014

Mailing address

3100 Forsythe Ave
Suite NB
Monroe, LA 71201-3014
Phone (318) 699-0580

National Provider Directory

National Provider Directory

Locations

3100 Forsythe Ave
Ste Nb
Monroe, LA 71201

3100 Forsythe Ave
Ste B
Monroe, LA 71201
Phone (318) 699-0580

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1740227024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 FORSYTHE AVE",
            "address_2": "SUITE NB",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013014",
            "telephone_number": "318-699-0580",
            "fax_number": "318-699-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 FORSYTHE AVE",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013014",
            "telephone_number": "318-699-0580",
            "fax_number": "318-699-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAHID ISLAM INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "NAHID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "318-699-0580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "12694R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.