Provider Demographics
NPI:1841248846
Name:ISLAM, ASAD UL (MD)
Entity type:Individual
Prefix:DR
First Name:ASAD
Middle Name:UL
Last Name:ISLAM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2201 LONG PRAIRIE RD
Mailing Address - Street 2:SUITE # 107-391
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4832
Mailing Address - Country:US
Mailing Address - Phone:469-444-2244
Mailing Address - Fax:214-488-1200
Practice Address - Street 1:860 HEBRON PKWY
Practice Address - Street 2:UNIT # 1101
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5151
Practice Address - Country:US
Practice Address - Phone:469-444-2244
Practice Address - Fax:214-488-1200
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2011-12-13
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Provider Licenses
StateLicense IDTaxonomies
TXM93712084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F21702Medicare UPIN