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

MD Tajul Islam Prodhan, MD

Individual provider Internal Medicine Physician · NPI 1104273291

MD Tajul Islam Prodhan, MD is an Internal Medicine in Erie, Pennsylvania. Qualified in 2005, 21 years ago. Practices with Regional Health Services Inc, a 576-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
21
Licensed in
NY, PA
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

201 State St
Erie, PA 16550-0002
Phone: (814) 877-4922
Fax: (814) 877-3622
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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 MD479217 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 303807-01 (NY)

Record details

NPI number1104273291
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2016
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Regional Health Services Inc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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