Individual
DR. OSAMA M ISMAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 275-3700
(620) 275-3717
Mailing address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 275-3700
(620) 275-3717
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-31528
KS
207P00000X
Emergency Medicine Physician
Primary
04315280431528
KS
207R00000X
Internal Medicine Physician
15-31528
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200369740A
—
KS
05
—
200369740E
—
KS
05
—
200369740F
—
KS
01
—
P00706695
RAILROAD MEDICARE
KS
Enumeration date
05/15/2006
Last updated
12/01/2023
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