DR. PARVEZ S. ISLAM (NPI# 1477631109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477631109 |
| Entity Type | Individual |
| Full Name | DR. PARVEZ S. ISLAM |
| Credential | MD |
| Practice Address |
508 Gibson Dr Suite 110 Roseville CA 95678-5794 |
| Practice Telephone | 9167831080 |
| Practice Fax Number | 9167831090 |
| Mailing Telephone | 9167831080 |
| Mailing Fax Number | 9167831090 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | C51863 | CA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | C51863 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C518630 | 05 |
| Street Address |
508 GIBSON DR SUITE 110 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-5794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396825220 | Gwendolyn Marie Scurka | Family Medicine | 508 Gibson Dr, Suite 110, Roseville, CA 95678-5794 | 2006-10-16 |
| 1285197350 | Kathleen Andrews | Nurse Practitioner | 508 Gibson Dr, Roseville, CA 95678-5794 | 2019-04-07 |
| 1154709434 | Le Vu Dental Corporation | Dentist | 508 Gibson Dr, Suite 190, Roseville, CA 95678-5794 | 2015-05-07 |
| 1457789455 | Ma. Cristina Esguerra Maniego Dmd,pc | Dentist | 508 Gibson Dr, Suite 100, Roseville, CA 95678-5794 | 2013-10-29 |
| 1104186691 | Manish Upadhyay, Md, Inc | Internal Medicine | 508 Gibson Dr, Suite No 270, Roseville, CA 95678-5794 | 2012-05-18 |
| 1144592643 | Alexandria Johnson | Nurse Practitioner | 508 Gibson Dr, Suite 220, Roseville, CA 95678-5794 | 2012-01-31 |
| 1104983758 | Maria Cristina Esguerra Maniego | Dentist | 508 Gibson Dr, Ste 100, Roseville, CA 95678-5794 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1336669233 | Medpro Inc | Internal Medicine | 1420 E Roseville Pkway, Suite #140-503, Roseville, CA 95661 | 2017-06-21 |
| 1649686684 | Nivano Care Medical Group Inc | Internal Medicine | 729 Sunrise Ave Ste 601, Roseville, CA 95661-4542 | 2014-07-10 |
| 1417373754 | Troy Andrew Singh | Internal Medicine | 906b Cirby Way, Roseville, CA 95661-4420 | 2014-03-11 |
| 1639515190 | Hong J Son | Internal Medicine | 1872 Granite Way, Roseville, CA 95747-4930 | 2013-05-10 |
| 1437482981 | Sudha Nannapaneni Md Pllc | Internal Medicine | 18285 E 10 Mile Rd Ste 120, Roseville, MI 48066-5806 | 2009-09-16 |
| 1962667204 | Neha Dang | Internal Medicine | 3100 Douglas Blvd Ste 200, Roseville, CA 95661-3868 | 2008-07-25 |
| 1093979593 | Farah Kirma Salem | Internal Medicine | 18263 E 10 Mile Rd Ste D, Roseville, MI 48066-5805 | 2008-07-14 |
| 1417120783 | Khushwinder Singh Garcha | Internal Medicine | 588 N Sunrise Ave Ste 120, Roseville, CA 95661-2843 | 2008-04-08 |
| 1417125519 | Raied M Hanna | Internal Medicine | 26390 Gratiot Ave, Roseville, MI 48066-5106 | 2008-02-12 |
| 1205022084 | Wasim H. Raja | Internal Medicine | 101 Emma Ct, Roseville, CA 95661-3239 | 2007-09-14 |
| Find all providers in ROSEVILLE | ||||
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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.