Individual
CHAD RICHARD ISHMAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, STE 300, CHARLOTTE, NC 28204-2963
(704) 355-5982
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2022-01802
NC
Other
Enumeration date
04/17/2015
Last updated
05/04/2023
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