Mohamed Ladak Ismail, PTA is a
Dance Therapist based in San Francisco, California. Mohamed Ladak Ismail is licensed to practice in California (license number AT5509) and his current practice location is
1201 6th Ave, #2, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at
(415) 316-9701.
NPI number for Mohamed Ladak Ismail is 1992078547 and his current mailing address is 1201 6th Ave, #2, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992078547.
Healthcare Provider's Profile
Full Name | Mohamed Ladak Ismail |
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Gender | Male |
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Speciality | Dance Therapist |
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Location | 1201 6th Ave, San Francisco, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992078547
- Provider Enumeration Date: 02/13/2012
- Last Update Date: 02/13/2012
Medical Identifiers
Medical identifiers for Mohamed Ladak Ismail such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992078547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
225600000X | Dance Therapist | AT5509 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mohamed Ladak Ismail is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mohamed Ladak Ismail, PTA 1201 6th Ave, #2, San Francisco, CA 94122-2540 Ph: (415) 316-9701 | Mohamed Ladak Ismail, PTA 1201 6th Ave, #2, San Francisco, CA 94122-2540 Ph: (415) 316-9701 |
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