Individual
GEILAN ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1399 WEIMER RD, SUITE 200, TAOS, NM 87571-6340
(505) 758-2224
Mailing address
NDCBU BOX 5775, TAOS, NM 87571
(505) 758-2224
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2001-220
NM
Other
Enumeration date
06/16/2006
Last updated
04/20/2008
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