Individual
AYAAZ ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7150 SMOKE RANCH RD # 110, LAS VEGAS, NV 89128-3157
(702) 948-9480
Mailing address
7150 SMOKE RANCH RD # 110, LAS VEGAS, NV 89128-3157
(520) 948-9480
(702) 485-5101
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
16970
NV
207RG0100X
Gastroenterology Physician
29921
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100015863
RR MEDICARE
AZ
01
—
1528167947
INDIVIDUAL
AZ
05
—
642365
—
AZ
Enumeration date
09/22/2006
Last updated
01/18/2019
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