MEDICARE: RAEESA ISLAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1932780368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAEESA ISLAM

Provider Business Mailing Address
First Line	:	5507 HOWE ST FL 2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-2303
Country	:	US
Telephone Number	:	215-353-1119
Fax Number	:

Provider Business Practice Location Address
First Line	:	5507 HOWE ST FL 2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-2303
Country	:	US
Telephone Number	:	215-353-1119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2021
Last Update Date	:	04/17/2021

Similar Medicare Providers

1538405279 — KATHLEEN MARIE ROTH PA-C
Practice Location Address:

5201 BAUM BLVD , SHADYSIDE MEDEXPRESS
PITTSBURGH, PA
15224-2303

Practice Phone: 412-687-3627
Practice Fax:

1548742471 — MRS. EMILY ANN DOWLER EIBEN NP
Practice Location Address:

5201 BAUM BLVD
PITTSBURGH, PA
15224-2303

Practice Phone: 412-687-3627
Practice Fax:

1932747540 — JOSEPHINE M POTTS CRNP
Practice Location Address:

5201 BAUM BLVD
PITTSBURGH, PA
15224-2303

Practice Phone: 412-687-3627
Practice Fax:

1528721107 — MEREDITH LYNN EASTERLING PA-C
Practice Location Address:

5201 BAUM BLVD
PITTSBURGH, PA
15224-2303

Practice Phone: 412-687-3627
Practice Fax:

1619842382 — BAILEIGH HORAN PA-C
Practice Location Address:

5200 CENTRE AVE STE 617
PITTSBURGH, PA
15232-1326

Practice Phone: 412-864-2753
Practice Fax:

1972453082 — PAYTON SYMONE REA MS, RDN, LD
Practice Location Address:

5230 CENTRE AVE
PITTSBURGH, PA
15232-1304

Practice Phone: 330-907-8907
Practice Fax:

Directions to “ RAEESA ISLAM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.