| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TAHIYA ISLAM | 1215659081 | 2022-09-16 |
Tahiya Islam is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215659081. Registration indicates Tahiya Islam is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Tahiya Islam PA-C |
| Practice Office Address | 1001 TOWSON AVE FORT SMITH, AR US |
| Practice Office Telephone | 4234263918 |
| Mailing Address | 13500 CHENAL PKWY APT 3023 LITTLE ROCK, AR 722115206 US |
| Business Telephone | 8705406370 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |
AR |