Individual
DR. MAAROOF ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269
(816) 234-2120
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036146913
IL
207R00000X
Internal Medicine Physician
036146913
IL
208M00000X
Hospitalist Physician
Primary
036146913
IL
390200000X
Student in an Organized Health Care Education/Training Program
2015017276
MO
Other
Enumeration date
04/14/2015
Last updated
07/23/2018
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