| Mahjabeen Islam Md, Llc | |
|
959 Illinois Ave Ste E Maumee OH 43537-1744 | |
| (419) 872-0500 | |
| (419) 874-4650 |
| Full Name | Mahjabeen Islam Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 959 Illinois Ave Ste E, Maumee, Ohio |
| Authorized Official Name and Position | Mahjabeen Islam (OWNER) |
| Authorized Official Contact | 4198720500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahjabeen Islam Md, Llc 959 Illinois Ave Ste E Maumee OH 43537-1744 Ph: (419) 872-0500 | Mahjabeen Islam Md, Llc 959 Illinois Ave Ste E Maumee OH 43537-1744 Ph: (419) 872-0500 |
| NPI Number | 1922704626 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 02/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922704626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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