Mohammed a. Islam M.D.P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

L4981 Issued in TX

Legal business name

MOHAMMED A. ISLAM M.D.P.A.

Practice address

3921 N Twin City Hwy
Port Arthur, TX 77642-2118

Phone

(409) 963-0000

Fax

(409) 963-1899

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Mohammed Amirul Islam

Title

M.D.

Phone

(409) 963-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GULF COAST CARDIOLOGY GRP. P.L.LC. Other name

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1801004627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4575",
            "address_2": "MOHAMMED AMIRUL ISLAM, MD PA; MSC # 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104575",
            "telephone_number": "409-963-0000",
            "fax_number": "409-963-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 N TWIN CITY HWY",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422118",
            "telephone_number": "409-963-0000",
            "fax_number": "409-963-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED A. ISLAM M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "AMIRUL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "409-963-0000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L4981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163755501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULF COAST CARDIOLOGY GRP. P.L.LC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Millich, NP
• Donna Larkins Mitchell, FNP-C
• Waheeda Mithani, M.D.
• Willa Renee Moffett-Williford, LCDC
• Mohamed D Vadva MD PA
• Thomas J Molina, M.D.
• Maherin Momin, DDS
• Monica K Loverdi, PLLC
• Dorothy J Moore, DC
• Pradip J Morbia, MD

• Specialist in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.