Provider Demographics
NPI:1316738305
Name:ISLAM, SYED MONOWARUL
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:MONOWARUL
Last Name:ISLAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 S 12TH ST STE 505
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-4053
Mailing Address - Country:US
Mailing Address - Phone:267-423-2308
Mailing Address - Fax:
Practice Address - Street 1:11 S 12TH ST STE 505
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-4053
Practice Address - Country:US
Practice Address - Phone:267-423-2308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care