Individual provider · Type 1 NPI

Tina Islam, MD

Diagnostic Radiology Physician · Eden Prairie, MN

NPI number 1487966024 Active

Practice location

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Call (952) 595-1301 Map

Fax (612) 294-4903

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X311067 (LA)
Diagnostic Radiology Physician Primary 2085R0202X266300 (MA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1487966024

Tina Islam, MD's National Provider Identifier is 1487966024, issued on Jul 12, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Eden Prairie, MN. The record was last updated on Apr 13, 2020.