Rezaul Islam, MD
Internal Medicine, Cardiovascular Disease in Monroe, LA. Individual provider (NPI-1).
NPI number1841237286
StatusActive
Last updated in NPPESApr 22, 2022
Details
- NPI
- 1841237286
- Entity type
- Individual (NPI-1)
- Name
- Rezaul Islam
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2006
- Certification date
- Apr 22, 2022
- Last updated
- Apr 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 12313R | LA | Yes |
Practice location
3100 Forsythe AveMonroe, LA 71201-3014
Phone 318-699-0505 · Fax 318-699-0506
Mailing address
5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038
Phone 318-699-0505 · Fax 225-765-9196
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