Provider Demographics
NPI:1497489025
Name:ISMAIL, HEBA AHMED
Entity Type:Individual
Prefix:DR
First Name:HEBA
Middle Name:AHMED
Last Name:ISMAIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WILLARD ST UNIT 304
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-4582
Mailing Address - Country:US
Mailing Address - Phone:952-208-2376
Mailing Address - Fax:
Practice Address - Street 1:200A BYNUM HALL
Practice Address - Street 2:CAMPUS BOX#4010
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-4010
Practice Address - Country:US
Practice Address - Phone:919-966-2611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program