MALICK G ISLAM (NPI# 1265663124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265663124 |
| Entity Type | Individual |
| Full Name | MALICK G ISLAM |
| Credential | MD, FACC |
| Practice Address |
34453 King Street Row Ste 2 Lewes DE 19958-4787 |
| Practice Telephone | 3026447676 |
| Practice Fax Number | 3026444876 |
| Mailing Telephone | 3026447676 |
| Mailing Fax Number | 3026444876 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2019-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
C1-0011611 | DE | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
C1-0011611 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
34453 KING STREET ROW STE 2 |
| City | LEWES |
| State | DE |
| Zip Code | 19958-4787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316926736 | Pravinchandra O Gohel | Internal Medicine | 34453 King Street Row, Suite 2, Lewes, DE 19958-4787 | 2006-01-13 |
| 1942674510 | Nina Mary Varughese | Nurse Practitioner | 34453 King Street Row, Lewes, DE 19958-4787 | 2015-11-19 |
| 1629260013 | Dimitrios Barmpouletos | Internal Medicine | 34453 King Street Row, Suite 2, Lewes, DE 19958-4787 | 2007-08-09 |
| 1245252535 | Alice E Hopple | Nurse Practitioner | 34453 King Street Row, Lewes, DE 19958-4787 | 2006-07-24 |
| 1891727566 | Ehtasham A. Qureshi | Internal Medicine | 34453 King Street Row, Suite 2, Lewes, DE 19958-4787 | 2006-07-06 |
| 1417928565 | Rajinder Prasad | Internal Medicine | 34453 King Street Row, Suite 2, Lewes, DE 19958-4787 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761699 | Coastal Counseling and Consulting Services LLC | Counselor | 31046 Beaver Circle, Lewes, DE 19958 | 2020-08-19 |
| 1326606765 | Jennifer Brett Gunning | Registered Nurse | Beebe Medical Center 424 Savannah Road, Lewes, DE 19958 | 2019-05-31 |
| 1801398383 | Rachel Veras Barrera | Registered Nurse | 17506 Slipper Shell Way #11, Lewes, DE 19958 | 2018-03-01 |
| 1578076451 | Dr Jeha LLC | Internal Medicine | 16295 Willow Creek Road, Lewes, DE 19958 | 2017-11-14 |
| 1538680277 | Bryan Pepper | Physician Assistant | 1606 Savannah Rd #1, Lewes, DE 19958 | 2017-07-03 |
| 1720447014 | Sharon Collier | Hearing Instrument Specialist | 1632 Savannah Road, Suite 3, Lewes, DE 19958 | 2016-02-16 |
| 1487019725 | Beebe Healthcare | Clinic/Center | 18506 Bellegrove Road, Unit 2, Lewes, DE 19958 | 2015-12-30 |
| 1689048951 | Harold Hazen Johnson Jr. | Physical Therapy Assistant | 17028 Cadbury Cir., Cadbury At Lewes, Lewes, DE 19958 | 2015-11-24 |
| 1649641804 | Pamela Mashewske | Registered Nurse | 1526 Savannah Road, Lewes, DE 19958 | 2015-10-14 |
| 1972998334 | Renee Wood | Registered Nurse | 24 Savannah Road, Lewes, DE 19958 | 2015-04-02 |
| Find all providers in zip 19958 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063938439 | Bayhealth Medical Center, Inc | Internal Medicine | 100 Wellness Way, Milford, DE 19963-4364 | 2017-08-17 |
| 1417111063 | Mussaber Mushtaq Ahmad | Internal Medicine | 802 N Dupont Blvd, Milford, DE 19963-1006 | 2008-07-14 |
| 1780868950 | Laura M Gravelin | Internal Medicine | 200 Banning St, Dover, DE 19904-3485 | 2007-12-24 |
| 1295932861 | Delaware Electrophysiology and Cardiology Pa | Internal Medicine | 2600 Glasgow Ave, Suite 104, Newark, DE 19702-4773 | 2007-06-28 |
| 1396709440 | Stephen Michael Blumberg | Internal Medicine | 1113 S State St, Suite 100, Dover, DE 19901-4112 | 2006-04-14 |
| 1932102647 | Joseph C Pennington IIi | Internal Medicine | 2600 Glasgow Ave, Ste 104, Newark, DE 19702-4773 | 2005-05-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.