Islam, Sajjudal

Islam, Sajjudal is an individual health care provider with primary practice located at 320 N Muskingum Ave , Odessa TX 79761-5152. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Islam, Sajjudal can be contacted via phone (432) 335-8400.

Contact Information

Primary practice address
320 N Muskingum Ave Odessa TX 79761-5152
Phone: (432) 335-8400
Fax: (432) 335-5805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G7240 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G7240 Texas

Profile Details

NPI number 1447252440
LBN Legal business name Islam, Sajjudal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 30th, 2012 - about 12 years ago

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 1447252440 NPPES
Texas MEDICAID 120388704
Texas Other G7240
Texas Other 00GE62

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