Most Relevant Information
Provider Data
| NPI Number: | 1003651167 |
| Provider Name: | SAYEDUL ISLAM |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZC0007X |
| Specialty: | Specialist/Technologist, Other |
| License Number: | 212987 |
Most Important Dates
| Enumeration Date: | 06/28/2024 |
| Last Updated: | 06/28/2024 |
Provider Practice Location
6777 W MAPLE RD
WEST BLOOMFIELD
MI
483223013
Practice Location Phone/Fax
| Phone: | 8006536568 |
| Fax: |
Provider Mailing Location
8235 STANLEY DR
WARREN
MI
480932763
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |