Individual
DR. YOUNUS M ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1508 S BROAD ST, SUITE 200, SCOTTSBORO, AL 35768-2667
(256) 259-3778
(256) 259-3759
Mailing address
1508 S BROAD ST, SUITE 200, SCOTTSBORO, AL 35768-2667
(256) 259-3778
(256) 259-3759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22123
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000041078
—
AL
01
—
110178240
RAILROAD MEDICARE
AL
01
—
510-41078
BLUE CROSS
AL
Enumeration date
10/25/2005
Last updated
02/17/2012
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