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

Mohammad Raqibul Islam, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1306286158

Mohammad Raqibul Islam, MD is an Obstetrics/Gynecology in Scottsdale, Arizona. Qualified in 2013, 13 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Michigan.

Years since qualifying
13
Licensed in
AZ, MI
In the registry since
2013
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

13400 E Shea Blvd
Scottsdale, AZ 85259
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1215 E Michigan Ave, Lansing, MI 48912 — (517) 364-2570
  • 1215 E Michigan Ave, Lansing, MI 48912 — (517) 364-2570

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence 54033 (AZ)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 4301103735 (MI)

Record details

NPI number1306286158
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESMarch 15, 2019

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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