Individual
NASEEM HAJI HUSSEIN ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR STE C300, GREENVILLE, SC 29615-6324
(864) 454-8272
(864) 454-2875
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27450
SC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
27450
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274508
—
SC
01
—
576007863063
BCBS OF SC
SC
01
—
7203501
AETNA
SC
01
—
7505846
CIGNA
SC
01
—
P00187707
RR MEDICARE
SC
Enumeration date
05/10/2006
Last updated
03/24/2025
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