Amani Islam, is a
Student In An Organized Health Care Education/training Program based in Minneapolis, Minnesota. Amani Islam is licensed to practice in * (Not Available) (license number ) and her current practice location is
2211 Riverside Ave, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 330-1000.
NPI number for Amani Islam is 1700625787 and her current mailing address is 4819 W Catalpa Ave, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700625787.
Provider's Profile
| Full Name | Amani Islam |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2211 Riverside Ave, Minneapolis, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700625787
- Provider Enumeration Date: 05/21/2024
- Last Update Date: 05/21/2024
Medical Identifiers
Medical identifiers for Amani Islam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700625787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amani Islam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amani Islam,
4819 W Catalpa Ave,
Chicago, IL 60630-1513
Ph: () - | Amani Islam,
2211 Riverside Ave,
Minneapolis, MN 55454-1350
Ph: (612) 330-1000 |
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