Individual
AHMAD M ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(803) 286-1214
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
(803) 286-1214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD13041
RI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2013-01144
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
39138
SC
207RP1001X
Pulmonary Disease Physician
Primary
2013-01144
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001233601
MEDICARE PTAN
RI
05
—
110087997A
—
MA
01
—
39138
ML
SC
05
—
39138A
—
SC
05
—
AI77047
—
RI
Enumeration date
10/03/2006
Last updated
03/02/2026
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