Active NPI
Nahid Islam Incorporation
- Family Medicine Physician
- Monroe, LA
National Provider Identifier
1740227024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12694R
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.