Provider Demographics
NPI:1407301898
Name:ISLAM, SHEIKH JAHIDUL (MD)
Entity Type:Individual
Prefix:
First Name:SHEIKH
Middle Name:JAHIDUL
Last Name:ISLAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HERMANN MUSEUM CIRCLE DR APT 4410
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7968
Mailing Address - Country:US
Mailing Address - Phone:347-210-7386
Mailing Address - Fax:865-560-7110
Practice Address - Street 1:3 HERMANN MUSEUM CIRCLE DR APT 4410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7968
Practice Address - Country:US
Practice Address - Phone:347-210-7386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT1734207R00000X
NY311235207R00000X
FLME151984207R00000X
NMMD2022-1134207R00000X
GA79233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine