Mqislam MD LLC

NPI #1134306764 in Hazard, Kentucky

Provider Information

NPI Number: 1134306764
Entity Type: Organization
Organization Name: Mqislam MD LLC
Primary Specialty: Neurological Surgery
Enumeration Date: Jan 25, 2008
Last Updated: Jan 25, 2008

Practice Location

Address: 1908 N MAIN ST
Address 2: SUITE 230
City: Hazard
State: Kentucky
ZIP Code: 41701-2505
Phone: (606) 439-2662

Authorized Official

Name: DR. MOHAMMED ISLAM, MD
Title: OWNER
Phone: (606) 439-2662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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