Ismail, Mohammed

Ismail, Mohammed is an individual health care provider with primary practice located at 1300 Massachusetts Ave , Troy NY 12180-1628. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Ismail, Mohammed can be contacted via phone (518) 268-5542.

Contact Information

Primary practice address
1300 Massachusetts Ave Troy NY 12180-1628
Phone: (518) 268-5542
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 119154 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 119154 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 119154 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 119154 New York

Profile Details

NPI number 1477588747
LBN Legal business name Ismail, Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jan 20th, 2020 - about 4 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 1477588747 NPPES
New York MEDICAID 00540372

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