Ismail, Mahmoud I

Ismail, Mahmoud I is an individual health care provider with primary practice located at 201 State Street Hamot Faculty Specialists, Erie PA 16550-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ismail, Mahmoud I can be contacted via phone (814) 877-6000.

Contact Information

Primary practice address
201 State Street Hamot Faculty Specialists Erie PA 16550-0002
Phone: (814) 877-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 226415 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD429239 Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 226415 New York

Profile Details

NPI number 1912903253
LBN Legal business name Ismail, Mahmoud I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 11th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912903253 NPPES
Pennsylvania MEDICAID 101736840

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