Individual
ISMAIL MOHAMED ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2519 E THOMAS RD STE B, PHOENIX, AZ 85016-7913
(602) 405-0905
Mailing address
3116 S MILL AVE STE 254, TEMPE, AZ 85282-3678
(602) 405-0905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/30/2012
Last updated
06/16/2023
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