Al-Ani, Ismail
Al-Ani, Ismail is an individual health care provider with primary practice located at 621 Memorial Dr Ste 512 , South Bend IN 46601-1075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Al-Ani, Ismail can be contacted via phone (574) 246-9350.Contact Information
Primary practice address
621 Memorial Dr Ste 512
South Bend IN 46601-1075
Phone: (574) 246-9350
Fax: (574) 246-9370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01053640A | Indiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01053640A | Indiana |
Profile Details
| NPI number | 1578547402 |
|---|---|
| LBN Legal business name | Al-Ani, Ismail |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | May 3rd, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578547402 | NPPES |
| Indiana | MEDICAID | 200479040 |
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