Individual
DR. FAOUD ISHMAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 E PARK AVE STE 201, STATE COLLEGE, PA 16803
(844) 278-4600
(814) 235-1133
Mailing address
1850 E PARK AVE STE 201, STATE COLLEGE, PA 16803-6706
(844) 278-4600
(814) 235-1133
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD437187
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017861600
—
MD
Enumeration date
01/31/2007
Last updated
08/13/2018
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