Islam, Shamim M

Islam, Shamim M is an individual health care provider with primary practice located at 1001 Main St Fl 4 , Buffalo NY 14203-1009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Islam, Shamim M can be contacted via phone (716) 323-0150.

Contact Information

Primary practice address
1001 Main St Fl 4 Buffalo NY 14203-1009
Phone: (716) 323-0150
Fax: (716) 323-0296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 277439 New York
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 1971464 Idaho
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A86834 California

Profile Details

NPI number 1871687590
LBN Legal business name Islam, Shamim M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Sep 11th, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871687590 NPPES
New York MEDICAID 03999497

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