Individual
HASSAN M ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 JOHN R ST, SUITE 510, DETROIT, MI 48201-2020
(313) 993-7777
(313) 993-2563
Mailing address
4160 JOHN R ST, SUITE 510, DETROIT, MI 48201-2020
(313) 993-7777
(313) 993-2563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD34090
TN
207RI0011X
Interventional Cardiology Physician
Primary
4301075612
MI
Other
Enumeration date
08/25/2005
Last updated
02/26/2015
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