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Contact Information

ISLAM A BOLAD, MD
3900 ST FRANCIS WAY STE 200
LAFAYETTE, IN47905-4940
 Phone: 765-775-2800
 Fax: 765-775-2831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ISLAM A BOLAD · (Male)

NPI # 1780746198
Status Active
Credentials MD
Entity Individual
Enumeration date 12/14/2006
Last updated 02/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01064026A
  • ME License # 016813
  • IN Medicaid 200881960
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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