Individual
MAHEEN ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4321 FIR ST, EAST CHICAGO, IN 46312-3049
(219) 392-7466
(219) 392-7470
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01096984A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105255318
ANTHEM
IN
05
—
300115269
—
IN
Enumeration date
03/28/2021
Last updated
08/27/2025
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