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Contact Information

MOHAMMAD R ISLAM, MD
13400 E SHEA BLVD
SCOTTSDALE, AZ85259
 Phone: 480-301-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MOHAMMAD R ISLAM · (Male)

NPI # 1306286158
Status Active
Credentials MD
Entity Individual
Enumeration date 06/25/2013
Last updated 03/15/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 54033
  • MI License # 4301103735
Hospital affiliation(s)
  • BANNER GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1111 EAST MCDOWELL ROAD
    PHOENIX, AZ 85006
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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