| Shalena Islam MD PLLC | |
|
14242 Booth Memorial Ave Flushing NY 11355-5387 | |
| (917) 932-2315 | |
| (917) 268-9771 |
| Full Name | Shalena Islam MD PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 14242 Booth Memorial Ave, Flushing, New York |
| Authorized Official Name and Position | Mehtab Abbasi (OFFICE MANAGER) |
| Authorized Official Contact | 9173368422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalena Islam MD PLLC 14242 Booth Memorial Ave Flushing NY 11355-5387 Ph: (917) 932-2315 | Shalena Islam MD PLLC 14242 Booth Memorial Ave Flushing NY 11355-5387 Ph: (917) 932-2315 |
| NPI Number | 1386367308 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Medicare PECOS PAC ID | 2668849548 |
|---|---|
| Medicare Enrollment ID | O20221107000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386367308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Shalena Islam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386120095 PECOS PAC ID: 2668875055 Enrollment ID: I20210722002159 |
| Provider Name | Tahera Aktar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730898818 PECOS PAC ID: 1658803929 Enrollment ID: I20241011003346 |
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