MOHAMMED SHAFAYETUL ISLAM NPI 1174094734

NPI Information

NPI: 1174094734
Provider Name: MOHAMMED SHAFAYETUL ISLAM
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
2610 E NEES AVE APT 133
FRESNO, CA
ZIP 93720
Phone: (703) 945-5673
Get Directions

Mohammed Shafayetul Islam is a general practice dentist in Fresno, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Mohammed Shafayetul Islam NPI is 1174094734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2610 E NEES AVE APT 133
FRESNO, CA
ZIP 93720-016
Phone: (703) 945-5673

The enumeration date for this NPI number is 12/7/2018 and was last updated on 12/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	103400	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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