Individual
SHAKIB WASIFUL ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 584-7355
(513) 584-0431
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.141765
OH
2085R0202X
Diagnostic Radiology Physician
V1793
TX
Other
Enumeration date
04/08/2019
Last updated
08/11/2024
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