Ismail, Sirajuddin

Ismail, Sirajuddin is an individual health care provider with primary practice located at 309 Pineywood Rd , Thomasville NC 27360-3438. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Ismail, Sirajuddin can be contacted via phone (336) 474-8921.

Contact Information

Primary practice address
309 Pineywood Rd Thomasville NC 27360-3438
Phone: (336) 474-8921
Fax: (336) 474-8923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 25MA07585600 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2007-01248 North Carolina

Profile Details

NPI number 1902822901
LBN Legal business name Ismail, Sirajuddin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Oct 26th, 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 1902822901 NPPES
New Jersey MEDICAID 0005266

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