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 | 29 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 |
East Liverpool City Hospital | East liverpool, OH | Hospital |
University Hospitals Of Cleveland | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 391 |
Entity Name | University Primary Care Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
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: Medicare Enrolled Practice Location: 5264 Lee Rd, Maple Heights, OH 44137 Phone: 305-628-6117 |