Islam, Mahjabeen

Islam, Mahjabeen is an sole proprietor health care provider with primary practice located at 959 Illinois Ave Ste E , Maumee OH 43537-1744. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Islam, Mahjabeen can be contacted via phone (419) 872-0500.

Contact Information

Primary practice address
959 Illinois Ave Ste E Maumee OH 43537-1744
Phone: (419) 872-0500
Fax: (419) 874-4650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X OH053406 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.053406 Ohio

Profile Details

NPI number 1770606063
LBN Legal business name Islam, Mahjabeen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jan 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770606063 NPPES
Ohio MEDICAID 0696591

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