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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHONDKER ISLAM, MD

Active

KHONDKER ISLAM, MD is a Gastroenterology healthcare provider located in DECATUR, Illinois. NPI 1568441855 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · DECATUR, IL

Registration Details

NPI Number
1568441855
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2006 (20.558948424785 yrs)
Last Updated
Oct 2, 2024
Licenses
24098 (MS)
036102111 (IL)
069489 (GA)

Practice Information

Address
1730 E LAKE SHORE DR
DECATUR, IL, 625213809
Browse IL providers · Browse ZIP 62521
Phone
2173291000
Primary Specialty
Gastroenterology
207RG0100X
Additional Specialty
Gastroenterology
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in DECATUR, IL

Name Credential NPI
DR. VIKRAM BARPUJARI M.D. 1396729190
DR. VICTOR ELOY MD 1942232558
DR. RICHARD ROBERT DILORENZO DO 1528090164
DR. SUDHAKAR KRISHNADAS SHETH MD 1699707679
DR. STEPHEN PETER HOLLAND MD 1851470967
MICHAEL MAITAR MD 1619019304
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.