Provider Demographics
NPI:1912000902
Name:ISMAIL, FIRHAAD (MD)
Entity Type:Individual
Prefix:DR
First Name:FIRHAAD
Middle Name:
Last Name:ISMAIL
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 1:2470 E FLAMINGO RD
Mailing Address - Street 2:SUITE # C
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5200
Mailing Address - Country:US
Mailing Address - Phone:702-792-4500
Mailing Address - Fax:
Practice Address - Street 1:2470 E FLAMINGO RD
Practice Address - Street 2:SUITE # C
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5200
Practice Address - Country:US
Practice Address - Phone:702-792-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5801207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVB42190Medicare UPIN
NVMD5801Medicare ID - Type Unspecified