Individual
MAJDEE ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 PIPER HILL DR STE 12, SAINT PETERS, MO 63376-1690
(636) 996-9202
Mailing address
12855 N 40 DR STE 375, SAINT LOUIS, MO 63141-8657
(314) 567-6071
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036158975
IL
208800000X
Urology Physician
Primary
202103769
MO
208800000X
Urology Physician
A170568
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
Other
Enumeration date
03/30/2015
Last updated
09/09/2022
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