Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MD Khadimul Islam

Individual provider Internal Medicine Physician · NPI 1043082951

MD Khadimul Islam is an Internal Medicine in Hornell, New York. Qualified in 2007, 19 years ago. Practices with Mill Basin Medical Health PC, a 101-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

434 Monroe Ave
Hornell, NY 14843-2236
Phone: (607) 324-7740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence P125481 (NY)

Record details

NPI number1043082951
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 24, 2023
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address131 Preston Rd Fl 1, Cheektowaga, NY 14215-3626

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Mill Basin Medical Health Pc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hornell