Individual
MD. WAHIDUL ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
544 PATTERSON BLVD, FAIRFIELD, OH 45014-2514
(513) 896-9595
(513) 896-4171
Mailing address
5150 SANDY LN, FAIRFIELD, OH 45014-2738
(513) 874-8111
(513) 860-6992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35077851
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2191168
—
OH
Enumeration date
06/12/2006
Last updated
04/29/2022
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