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

Individual provider Pediatrics Physician · NPI 1730187592

Shamim Islam, MD is a Pediatrics Physician in Waterford, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
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

4186 Pontiac Lake Rd
Waterford, MI 48328-1258
Phone: (248) 674-7337
Fax: (248) 674-7335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence SI075290 (MI)

Record details

NPI number1730187592
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2005
Last updated in NPPESAugust 14, 2013
Mailing address4186 Pontiac Lake Rd, Waterford, MI 48328-1258

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