Individual
DR. MAHMOUD M ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 253-7878
(505) 272-6692
Mailing address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 253-7878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2019-1040
NM
207QS1201X
Sleep Medicine (Family Medicine) Physician
MD2019-1040
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42129559
—
NM
Enumeration date
08/25/2015
Last updated
01/30/2025
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