Majdee Islam, M.D.
Urology in Saint Peters, MO. Individual provider (NPI-1).
NPI number1447645304
StatusActive
Last updated in NPPESSep 9, 2022
Details
- NPI
- 1447645304
- Entity type
- Individual (NPI-1)
- Name
- Majdee Islam
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2015
- Certification date
- Sep 9, 2022
- Last updated
- Sep 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 202103769 | MO | Yes |
| 208800000X | Urology | A170568 | CA | |
| 208800000X | Urology | 036158975 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CO |
Practice location
112 Piper Hill Dr Ste 12Saint Peters, MO 63376-1690
Phone 636-996-9202
Mailing address
12855 N 40 Dr Ste 375Saint Louis, MO 63141-8657
Phone 314-567-6071
Other practice locations
326 Fountains Pkwy
Fairview Heights, IL 62208-2041
Fairview Heights, IL 62208-2041
Phone 618-277-3109
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