Yasmeen Islam MD PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME78276 Issued in FL

Legal business name

YASMEEN ISLAM MD PA

Practice address

3400 Tamiami TRL
Suite 102
Port Charlotte, FL 33952-8102

Phone

(941) 625-5855

Fax

(941) 625-7123

NPI assigned

Jun 3, 2006

Last updated

Jan 11, 2012By 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

Yasmeen M Islam, MD PANPI 1407837784

Title

Owner/Physician

Phone

(941) 625-5855

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yasmeen M Islam, M.D. PA

  • Obstetrics & Gynecology Physician
  • Port Charlotte, FL
  • NPI 1407837784
  Authorized official Same address or phone

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1952349698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 TAMIAMI TRL",
            "address_2": "SUITE 102",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528102",
            "telephone_number": "941-625-5855",
            "fax_number": "941-625-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TAMIAMI TRL",
            "address_2": "SUITE 102",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528102",
            "telephone_number": "941-625-5855",
            "fax_number": "941-625-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASMEEN ISLAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "YASMEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "941-625-5855",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME78276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.