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

Individual provider Internal Medicine Physician · NPI 1992322101

Mohammed Shahidul Islam is an Internal Medicine Physician in Jamaica, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York and Washington.

Licensed in
NY, WA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

9131 175th St
Jamaica, NY 11432-5517
Phone: (718) 883-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6970 Grand Central Pkwy, Forest Hills, NY 11375-3949 — (718) 263-4600

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MDCE.ML.70118222 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence P105592 (NY)

Record details

NPI number1992322101
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 3, 2020
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

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