MEDICARE: FIRHAAD ISMAIL M. D. , A. P. C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	5801	NV

General Provider Information

NPI Number	:	1932156452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRHAAD ISMAIL M. D. , A. P. C.

Provider Business Mailing Address
First Line	:	2470 E FLAMINGO RD
Second Line	:	SUITE # C
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5200
Country	:	US
Telephone Number	:	702-792-4500
Fax Number	:	702-792-9000

Provider Business Practice Location Address
First Line	:	2470 E FLAMINGO RD
Second Line	:	SUITE # C
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5200
Country	:	US
Telephone Number	:	702-792-4500
Fax Number	:	702-792-9000

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FIRHAAD ISMAIL
Credential	:	M. D.
Telephone Number	:	702-792-4500

Provider Enumeration Date	:	05/29/2006
Last Update Date	:	10/02/2007

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