Provider Demographics
NPI:1457926982
Name:ISLAM, S.M. TOUHIDUL (PHD)
Entity Type:Individual
Prefix:
First Name:S.M. TOUHIDUL
Middle Name:
Last Name:ISLAM
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38B RADCLIFFE ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-6146
Mailing Address - Country:US
Mailing Address - Phone:312-730-3617
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL UNIVERSITY OF SOUTH CAROLINA
Practice Address - Street 2:173 ASHLEY AVE., CRI 504
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-2942
Practice Address - Country:US
Practice Address - Phone:312-730-3617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program