Basic Information
Provider Information
NPI: 1508233172
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ISMAIL
FirstName: RAMY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 449 W 23RD ST
Address2: GULF COAST REGIONAL MEDICAL CENTER
City: PANAMA CITY
State: FL
PostalCode: 324054507
CountryCode: US
TelephoneNumber: 8507698341
FaxNumber:  
Practice Location
Address1: 449 W 23RD ST
Address2: GULF COAST REGIONAL MEDICAL CENTER
City: PANAMA CITY
State: FL
PostalCode: 324054507
CountryCode: US
TelephoneNumber: 2017256347
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/30/2015
LastUpdateDate: 08/31/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X38284ALN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X312436LAN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000XME 122568FLY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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