National Provider Identifier

MD Khadimul Islam

MD Khadimul Islam is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Hornell, NY and a listed phone number of (607) 324-7740.

NPI 1043082951Hornell, NYInternal Medicine Physician

Profile Overview

NPI
1043082951
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
October 24, 2023
Last Updated
November 11, 2025

Practice Location

  • 434 Monroe Ave
  • Hornell, NY 14843-2236

Phone: (607) 324-7740

Mailing Address

  • 131 Preston RD Fl 1
  • Cheektowaga, NY 14215-3626

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1043082951
Entity Type
Individual
Last Name
Islam
First Name
MD Khadimul
Mailing Street Address
131 Preston RD Fl 1
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14215-3626
Mailing Country
US
Mailing Phone
(347) 285-5909
Practice Street Address
434 Monroe Ave
Practice City
Hornell
Practice State
NY
Practice ZIP Code
14843-2236
Practice Country
US
Practice Phone
(607) 324-7740
Enumeration Date
October 24, 2023
Last Updated
November 11, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
November 11, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)