Individual
MR. AHMAD MOHAMED ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
(804) 565-6600
Mailing address
PO BOX 17978, RICHMOND, VA 23226-7978
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
0001209428
VA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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