Ismail, Abdulrahim
Ismail, Abdulrahim is an individual health care provider with primary practice located at 2651 E Discovery Pkwy , Bloomington IN 47408-9059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ismail, Abdulrahim can be contacted via phone (812) 353-5222.Contact Information
Primary practice address
2651 E Discovery Pkwy
Bloomington IN 47408-9059
Phone: (812) 353-5222
Fax: (812) 353-5262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 7345620 | Wisconsin |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01090117A | Indiana |
Profile Details
| NPI number | 1184011975 |
|---|---|
| LBN Legal business name | Ismail, Abdulrahim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2015 |
| Last updated | Jun 28th, 2023 - about 2 years ago |
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 | 1184011975 | NPPES |
| Indiana | Other | 090540860 | MEDICARE PTAN |
| Indiana | MEDICAID | 300075636 | MEDICARE PTAN |
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