TINA ISLAM MD NPI 1487966024

NPI Information

NPI: 1487966024
Provider Name: TINA ISLAM, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN
ZIP 55344
Phone: (952) 595-1301
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Tina Islam, MD is a diagnostic radiology radiology in Eden Prairie, MN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Tina Islam, MD NPI is 1487966024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN
ZIP 55344-349
Phone: (952) 595-1301
Fax: (612) 294-4903

The NPI 1487966024 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2010 and was last updated on 4/13/2020.

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	2085R0202X	Radiology	Diagnostic Radiology	266300	MASSACHUSETTS	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	311067	LOUISIANA	No

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: 5/5/2024

NPI Synchronization or Removal

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