Ismail, Mohammad Fateh

Ismail, Mohammad Fateh is an individual health care provider with primary practice located at Staff Of Life Medical Corp Pc 1011 Leighton Ave, Anniston AL 36207-5701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ismail, Mohammad Fateh can be contacted via phone (256) 770-7197.

Contact Information

Primary practice address
Staff Of Life Medical Corp Pc 1011 Leighton Ave Anniston AL 36207-5701
Phone: (256) 770-7197
Fax: (256) 405-4439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19946 Alabama

Profile Details

NPI number 1700811072
LBN Legal business name Ismail, Mohammad Fateh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700811072 NPPES
Alabama MEDICAID 158627
Alabama Other 51518333
Alabama MEDICAID 139280
Alabama MEDICAID 141757

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