Organization
MAHJABEEN ISLAM MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHJABEEN ISLAM MD (OWNER)
(419) 872-0500
Entity
Organization
Contact information
Practice address
959 ILLINOIS AVE STE E, MAUMEE, OH 43537-1744
(419) 872-0500
(419) 874-4650
Mailing address
959 ILLINOIS AVE STE E, MAUMEE, OH 43537-1744
(419) 872-0500
(419) 874-4650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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