Abul F Islam, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

AI040050 Issued in MI

Practice address

3720 Katalin CT
Suite 203
Bay City, MI 48706

Phone

(989) 686-5900

Fax

(989) 686-2456

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: islam.abul.001.0220049@afi.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abul F Islam MD PC

  • Gastroenterology Physician
  • Bay City, MI
  • NPI 1194914069
  Authorized official Same address or phone

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1932147139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 KATALIN CT",
            "address_2": "SUITE 203",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062160",
            "telephone_number": "989-686-5900",
            "fax_number": "989-686-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 KATALIN CT",
            "address_2": "SUITE 203",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-686-5900",
            "fax_number": "989-686-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "ABUL",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "AI040050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4168708",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intuitive Healing Therapy, PLLC
• Irb Medical Equipment, LLC (Hart Medical)
• Courtney Michelle Irmen
• Kayla Marie Irrer, LMSW, QMHP
• Jacqueline Irvine
• Anan Islam, BEHAIVOR TECHNICIAN
• Carrie Isom
• J.B. Hearing, Inc. (Bay Area Hearing)
• Amaya Jackson
• Diana Lynn Jackson

• Specialist in Bay City, MI
• Providers in Bay City, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.