IndividualActive
Islam Shatla, MD
NPI 1750943643 · Cardiovascular Disease Physician · Providence, RI
Provider details
- NPI number
- 1750943643
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 04-46397 (KS)
Practice location
593 Eddy St
Providence, RI 02903-4923
Phone: (401) 793-2695
Fax: (401) 444-4165
Mailing address
593 Eddy St
Providence, RI 02903-4923
Registry dates
- Enumerated
- 2019-07-01
- Last updated
- 2025-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.