Individual
ANJUM ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2641 W HORIZON RIDGE PKWY, SUITE 120, HENDERSON, NV 89052-4830
(701) 616-0091
(702) 616-2329
Mailing address
2641 W HORIZON RIDGE PKWY, SUITE 120, HENDERSON, NV 89052-4830
(701) 616-0091
(702) 616-2329
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9344
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018663
—
NV
Enumeration date
10/11/2006
Last updated
08/05/2013
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