Provider Demographics
NPI:1619984101
Name:ISMAIL, MUHAMMAD SAMI (MD)
Entity Type:Individual
Prefix:MR
First Name:MUHAMMAD
Middle Name:SAMI
Last Name:ISMAIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MUHAMMAD
Other - Middle Name:SAMI
Other - Last Name:ISMAIL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:P.O. BOX 90998
Mailing Address - Street 2:2300 PATTERSON ST
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209
Mailing Address - Country:US
Mailing Address - Phone:615-342-4661
Mailing Address - Fax:615-342-4662
Practice Address - Street 1:2300 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209
Practice Address - Country:US
Practice Address - Phone:615-342-4660
Practice Address - Fax:615-342-4662
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD019241174400000X
TN0192412080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No174400000XOther Service ProvidersSpecialist