Ali, Mahmoud Ismail
Ali, Mahmoud Ismail is an sole proprietor health care provider with primary practice located at 2810 Highway 77 Ste C , Panama City FL 32405-4498. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Ali, Mahmoud Ismail can be contacted via phone (850) 818-0250.Contact Information
Primary practice address
2810 Highway 77 Ste C
Panama City FL 32405-4498
Phone: (850) 818-0250
Fax: (850) 818-0450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 19091 | Mississippi |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A12287 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME110173 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 25MA08875800 | New Jersey |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MASTER DEGREE | Zz |
Profile Details
| NPI number | 1700860822 |
|---|---|
| LBN Legal business name | Ali, Mahmoud Ismail |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2005 |
| Last updated | May 6th, 2015 - about 11 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 | 1700860822 | NPPES |
| Mississippi | Other | 19091 | MS MEDICAL BOARD |
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