SHAMIM ISLAM MD
NPI 1730187592
Pediatrics in Waterford, MI

Active since July 14, 2005
4186 PONTIAC LAKE RD, WATERFORD, MI 48328(248) 674-7337(248) 674-7335 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shamim Islam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAMIM ISLAM MD (NPI 1730187592) is an individual pediatrics provider in Waterford, Michigan, licensed in Michigan (SI075290) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1730187592
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHAMIM ISLAMCredential: MD
Location Address4186 PONTIAC LAKE RDWaterford, MI 48328-1258
Mailing Address4186 Pontiac Lake RdWaterford, MI 48328-1258 · (248) 674-7337 · Fax (248) 674-7335
Fax(248) 674-7335
Sole ProprietorNo
Enumeration DateJuly 14, 2005
Last NPPES UpdateAugust 14, 2013
NPI 1730187592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MI · SI075290
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4186 PONTIAC LAKE RD, Waterford, MI 48328

Other Identifiers 3

Medicare UPINB43730MI
Medicaid4177672MI
Medicare ID-Type UnspecifiedOM39080MI

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
4186 PONTIAC LAKE RD
WATERFORD, MI 48328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shamim Islam's NPI number?

The NPI number for Shamim Islam is 1730187592. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Shamim Islam located?

Shamim Islam practices at 4186 Pontiac Lake Rd, Waterford, MI 48328. The listed phone number is (248) 674-7337.

What is Shamim Islam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Shamim Islam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health and 1 other insurer list Shamim Islam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shamim Islam was last updated on August 14, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.