Rezwan Islam, M.D. Valid NPI

Individual provider · Family Medicine Physician · Fulton, MO

NPI

1124054556

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

2004010833 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-25

Last updated

2013-08-09