SHAMIM ISLAM (NPI# 1730187592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730187592 |
| Entity Type | Individual |
| Full Name | SHAMIM ISLAM |
| Credential | MD |
| Practice Address |
4186 Pontiac Lake Rd Waterford MI 48328-1258 |
| Practice Telephone | 2486747337 |
| Practice Fax Number | 2486747335 |
| Mailing Telephone | 2486747337 |
| Mailing Fax Number | 2486747335 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2013-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | SI075290 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4177672 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871687590 | Shamim M Islam | Pediatrics | 2000 Mowry Ave, Nursery Level II, Fremont, CA 94538-1716 | 2006-10-03 |
| Street Address |
4186 PONTIAC LAKE RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699934158 | Pinetree Medical Center, PC | Pediatrics | 4186 Pontiac Lake Rd, Waterford, MI 48328-1258 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598979809 | Mirza Asif Baig | Pediatrics | 4210 Pontiac Lake Road, Waterford Peds, Waterford, MI 48328 | 2007-05-09 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| 1518916147 | Devyani S Khambete | Pediatrics | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2006-05-10 |
| 1649651092 | Kathryn C Halyko | Pediatrics | 818 Forest Ln, Waterford, WI 53185 | 2015-06-11 |
| 1023334166 | Naomi Suntal Miller | Pediatrics | 818 Forest Ln, Waterford, WI 53185-4585 | 2010-04-14 |
| 1699934158 | Pinetree Medical Center, PC | Pediatrics | 4186 Pontiac Lake Rd, Waterford, MI 48328-1258 | 2008-06-09 |
| 1972780237 | Nancy M Rofalikos-welka | Pediatrics | 818 Forrest Dr, Waterford, WI 53185-4577 | 2008-01-29 |
| 1114136462 | Devyani Khambete, M.d.,p.c. | Pediatrics | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2007-05-22 |
| 1780732255 | Glenn Bauer | Pediatrics | 6600 Highland Rd, Waterford, MI 48327-1673 | 2007-01-08 |
| 1588738330 | Daniel Cheng | Pediatrics | 110 3rd St, Waterford, NY 12188 | 2006-11-20 |
| Find all providers in WATERFORD | ||||
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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.