Individual
HICHAM ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211
(704) 384-3646
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2019-01950
NC
2085R0202X
Diagnostic Radiology Physician
35.128131
OH
Other
Enumeration date
04/07/2014
Last updated
10/01/2020
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