Provider Demographics
NPI:1437899929
Name:ISLAM, SUHAYLA (DO)
Entity type:Individual
Prefix:
First Name:SUHAYLA
Middle Name:
Last Name:ISLAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 NEPONSET STREET
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-425-5566
Mailing Address - Fax:508-365-6590
Practice Address - Street 1:5 NEPONSET STREET
Practice Address - Street 2:MEDICAL STAFF SERVICES
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2714
Practice Address - Country:US
Practice Address - Phone:508-425-5566
Practice Address - Fax:508-365-6590
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1024772207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine