Individual provider · Type 1 NPI

Mohammed Shadman Islam, PA-C

Physician Assistant · Elmhurst, NY

NPI number 1134026818 Active

Practice location

4023 74th St
Elmhurst, NY 11373-5603

Call (718) 424-0200 Map

Mailing address

486 Mcdonald Ave
Brooklyn, NY 11218-3812

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X036624 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134026818

Mohammed Shadman Islam, PA-C's National Provider Identifier is 1134026818, issued on Oct 24, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Elmhurst, NY. The record was last updated on Oct 24, 2026.