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

Mohammed N. Islam, MD

Individual provider Surgery Physician · NPI 1750488631

Mohammed N. Islam, MD is a Vascular Surgery in Indiana, Pennsylvania. Qualified in 1980, 46 years ago. Practices with Medex Diagnostic and Treatment Center LLC, a 26-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
46
Licensed in
NY, PA
In the registry since
2006
Specialties on file
3
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

1265 Wayne Ave 119 Prof Bldg Ste 103
Indiana, PA 15701-3501
Phone: (724) 463-1046
Fax: (724) 463-2314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD436442 (PA)
Surgery Physician Taxonomy 208600000X · Licence MD436442 (PA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 195804 (NY)

Record details

NPI number1750488631
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 23, 2011
Mailing address9 North 7th Street, Suite 203, Indiana, PA 15701-1880

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Medex Diagnostic And Treatment Center Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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