Ismail, Mohammed
Ismail, Mohammed is an individual health care provider with primary practice located at 1300 Massachusetts Ave , Troy NY 12180-1628. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Ismail, Mohammed can be contacted via phone (518) 268-5542.Contact Information
Primary practice address
1300 Massachusetts Ave
Troy NY 12180-1628
Phone: (518) 268-5542
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 119154 | New York |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 119154 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 119154 | New York |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 119154 | New York |
Profile Details
| NPI number | 1477588747 |
|---|---|
| LBN Legal business name | Ismail, Mohammed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jan 20th, 2020 - about 6 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 | 1477588747 | NPPES |
| New York | MEDICAID | 00540372 |
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