Individual
DR. MOUHAMED YAZAN ABOU-ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 336-5000
Mailing address
31 PORTLAND PKWY APT 5, ROCHESTER, NY 14621-2827
(585) 507-7105
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
11619970-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2014
Last updated
10/15/2021
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