Islam LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

ISLAM LLC

Practice address

9815 Paragon LN
Shreveport, LA 71115

Phone

(318) 773-0657

NPI assigned

Nov 30, 2017

Last updated

Jun 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jahrul Islam, MD

Title

Physician

Phone

(318) 773-0657

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1902310899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19284",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711490284",
            "telephone_number": "318-773-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 PARAGON LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71115",
            "telephone_number": "318-773-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "JAHRUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "318-773-0657",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "206516",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelia Bea Isaac, L.M.T.
• Tiffany Isaac, ANP-C
• Philip Donald Isherwood, M.D.
• Ishuttle, LLC
• Srinivasa R Iskapalli, MD
• Aliaa Ismail
• Bilind Saman Ismail, M.D.
• Ibtisam N Issa
• It's a Beautiful Mind Consultants LLC (It's A Beautiful Mind, LLC)
• Itransit Medical Transportation LLC

• General Acute Care Hospital in Shreveport, LA
• Providers in Shreveport, LA by specialty
• General Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.