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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700860822 NPPES
Mississippi Other 19091 MS MEDICAL BOARD

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