| Ismail M.d., P.a. | |
|
10000 W Sample Rd Ste A Coral Springs FL 33065-3936 | |
| (954) 601-6321 | |
| (954) 231-1227 |
| Full Name | Ismail M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10000 W Sample Rd Ste A, Coral Springs, Florida |
| Authorized Official Name and Position | Muhammad Iqbal Ismail (OWNER/PRESIDENT) |
| Authorized Official Contact | 9548498986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismail M.d., P.a. 10000 W Sample Rd Ste A Coral Springs FL 33065-3936 Ph: (954) 601-6321 | Ismail M.d., P.a. 10000 W Sample Rd Ste A Coral Springs FL 33065-3936 Ph: (954) 601-6321 |
| NPI Number | 1679971030 |
|---|---|
| Provider Enumeration Date | 12/16/2014 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Medicare PECOS PAC ID | 0345565537 |
|---|---|
| Medicare Enrollment ID | O20150210002084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679971030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME67059 (Florida) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Muhammad I Ismail |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275584211 PECOS PAC ID: 9335173822 Enrollment ID: I20050923000623 |
| Provider Name | Saiqa I Ismail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871794750 PECOS PAC ID: 7315112695 Enrollment ID: I20111215000089 |
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