| Mr Tajul Islam, MD | |
|
5264 Lee Rd, Maple Heights, OH 44137-1232 | |
| (305) 628-6117 | |
| Not Available |
| Full Name | Mr Tajul Islam |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 31 Years |
| Location | 5264 Lee Rd, Maple Heights, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609212869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 35.129571 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 35.129571 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 388 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Mercy Health Physicians Youngstown, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
| Entity Name | Hospitalist Medicine Physicians Of Ohio, Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043572290 PECOS PAC ID: 3779749197 Enrollment ID: O20120730000162 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tajul Islam, MD 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (305) 628-6117 | Mr Tajul Islam, MD 5264 Lee Rd, Maple Heights, OH 44137-1232 Ph: (305) 628-6117 |
Rosetta Geraci Rowbottom, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5264 Lee Rd, Maple Heights, OH 44137 Phone: 216-294-4440 | |
Jonathan H Wynbrandt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5264 Lee Rd, Maple Heights, OH 44137 Phone: 305-628-6117 |