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Dr. Sajjudal Islam SR., MD
Diagnostic Radiology Physician in Odessa, Texas
NPI 1447252440

Sajjudal Islam SR. is a Diagnostic Radiology Physician based in Odessa, TX and is specialized in Diagnostic Radiology. Sajjudal Islam SR. practices in Odessa, TX and has the professional credentials of MD. The NPI Number for Sajjudal Islam SR. is 1447252440 and holds a License No. G7240 (Texas).

The current practice location address for Sajjudal Islam SR. is 320 N Muskingum Ave, Odessa, TX and can be reached out via phone at 432-335-8400 and via fax at 432-335-5805.

Location: 320 N Muskingum Ave, Odessa, TX, 79761-5152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447252440
Provider Name
Sajjudal Islam SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
320 N Muskingum Ave, Odessa, TX, 79761-5152
Phone Number
432-335-8400
Fax Number
432-335-5805
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
120388704 05 TX
G7240 01 TX WORK COMP
00GE62 01 TX BLUE CROSS OF TEXAS
institution
Provider Business Practice Location Address Details
Address
320 N Muskingum Ave
City
Odessa
State
Texas
Zip
79761-5152
Phone Number
432-335-8400
Fax Number
432-335-5805
person
Provider Business Mailing Address Details
Address
320 N Muskingum Ave
City
Odessa
State
Texas
Zip
79761-5152
Phone Number
432-335-8400
Fax Number
432-335-5805
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G7240 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G7240 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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