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

Individual provider Family Medicine Physician · NPI 1023111879

Dr. Quazi T Islam, MD is a Family Practice in Manchester, Connecticut. Qualified in 1985, 41 years ago. Practices with Prohealth Physicians PC, a 212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
41
Licensed in
CT, NY
In the registry since
2006
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

515 Middle Tpke W
Manchester, CT 06040-3816
Phone: (860) 533-4176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8112 State Route 12, Barneveld, NY 13304-2122 — (315) 896-2020

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 38371 (CT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 236846 (NY)

Record details

NPI number1023111879
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 7, 2006
Last updated in NPPESMarch 7, 2023
Certification dateSeptember 8, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Prohealth Physicians Pc — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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