Ismail, Medhat
Ismail, Medhat is an sole proprietor health care provider with primary practice located at 246 Hamburg Tpke Suite 208, Wayne NJ 07470-2156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ismail, Medhat can be contacted via phone (973) 790-3433.Contact Information
Primary practice address
246 Hamburg Tpke Suite 208
Wayne NJ 07470-2156
Phone: (973) 790-3433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MA61414 | New Jersey |
Profile Details
| NPI number | 1982665600 |
|---|---|
| LBN Legal business name | Ismail, Medhat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Oct 15th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982665600 | NPPES |
| New Jersey | MEDICAID | 6738109 |
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