Ismail, Imtiaz

Ismail, Imtiaz is an sole proprietor health care provider with primary practice located at 100 Medical Dr , Hannibal MO 63401-6877. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Ismail, Imtiaz can be contacted via phone (573) 221-5250.

Contact Information

Primary practice address
100 Medical Dr Hannibal MO 63401-6877
Phone: (573) 221-5250
Fax: (573) 231-3758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036138972 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036138972 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 53769 Kentucky
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 2021022845 Missouri

Profile Details

NPI number 1114369170
LBN Legal business name Ismail, Imtiaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2013
Last updated Jul 25th, 2022 - 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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