Individual
DR. MAHMOUD I ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 STATE STREET, HAMOT FACULTY SPECIALISTS, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
717 STATE STREET, SUITE 16 LL REGIONAL HEALTH SERVICES, INC, ERIE, PA 16501-1360
(814) 480-7100
(814) 480-7604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
226415
NY
207R00000X
Internal Medicine Physician
Primary
MD429239
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
226415
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101736840
—
PA
Enumeration date
06/22/2005
Last updated
06/11/2009
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