Islam, David Matthew
Islam, David Matthew is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Islam, David Matthew can be contacted via phone (903) 531-4500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | TX TEMP LICENSE | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | M4195 | Texas |
Profile Details
| NPI number | 1225071921 |
|---|---|
| LBN Legal business name | Islam, David Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Oct 13th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225071921 | NPPES |
| Texas | Other | P00326015 | RAILROAD MEDICARE |
| Texas | MEDICAID | 181296601 | RAILROAD MEDICARE |
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