Provider Demographics
NPI:1073889200
Name:UCAR, ISMAIL VUSLAT (MD)
Entity Type:Individual
Prefix:DR
First Name:ISMAIL
Middle Name:VUSLAT
Last Name:UCAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 S OCEAN BLVD
Mailing Address - Street 2:#1001
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-7149
Mailing Address - Country:US
Mailing Address - Phone:954-941-8821
Mailing Address - Fax:954-941-8821
Practice Address - Street 1:1370 S OCEAN BLVD
Practice Address - Street 2:#1001
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-7149
Practice Address - Country:US
Practice Address - Phone:954-941-8821
Practice Address - Fax:954-941-8821
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010327002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry