Dr. Mahjabeen Islam
Family Doctor Family Doctor - Addiction Medicine
1103 Village Square Dr Ste 205
Perrysburg
, Ohio 43551-1762
Dr. Mahjabeen Islam
Family Doctor Family Doctor - Addiction Medicine
1103 Village Square Dr Ste 205
Perrysburg
, Ohio 43551-1762
(419) 874-4650
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Mahjabeen Islam
- 1103 Village Square Dr Ste 205
- Perrysburg, OH
- Zip : 43551-1762
- Fax : (419) 874-4650
- Phone : (419) 872-0500
Second Address
- Dr. Mahjabeen Islam
- 1103 Village Square Dr Ste 205
- Perrysburg, OH
- Zip : 43551-1762
- Fax : (419) 874-4650
- Phone : (419) 872-0500
Reviews
FAQs
Where did Dr. Mahjabeen Islam attend graduate school?
Where did Dr. Mahjabeen Islam do her residency?
Where did Dr. Mahjabeen Islam do her fellowship?
Is Dr. Mahjabeen Islam board certified?
What type of doctor is Dr. Mahjabeen Islam
In what state does Dr. Mahjabeen Islam practice in?
Where is Dr. Mahjabeen Islam ’s practice located?
What is Dr. Mahjabeen Islam ’s gender?
Is Dr. Mahjabeen Islam a sole practitioner?
Is Dr. Mahjabeen Islam accepting new patients?
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Does Dr. Mahjabeen Islam offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 35.053406 | OH |
| N | 207QA0401X | Family Doctor - Addiction Medicine | OH053406 | OH |
National Provider Identifier
| NPI | 1770606063 |
|---|---|
| Provider Name | Dr. Mahjabeen Islam |
| First Address | Perrysburg, OH 43551-1762 |
| Second Address | Perrysburg, OH 43551-1762 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2007 |
| Last Update Date | 12/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0696591 | (05) | OH |
| A16788 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.