Individual
ISMAEL PEREIRA
Active
Individual
ISMAEL PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
PA2016-0096
NM
363AM0700X
Medical Physician Assistant
PA20160096
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA20160096
—
NM
Enumeration date
10/20/2016
Last updated
07/28/2022
Update your record
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