Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mohammad Atiqul Islam, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679925754

Dr. Mohammad Atiqul Islam, MD is a Hospitalist in Bridgeport, Connecticut. Qualified in 2005, 21 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
21
Licensed in
CT
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

267 Grant St
Bridgeport, CT 06610-2805
Phone: (203) 384-4677
Fax: (203) 384-3135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1545 Atlantic Ave, Brooklyn, NY 11213-1122 — (347) 741-2707

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 62402 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679925754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2016
Last updated in NPPESJune 5, 2019
Mailing address20 York St, New Haven, CT 06510-3220

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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