Provider Demographics
NPI:1336918812
Name:MUHAMMD, ISMAIL M
Entity Type:Individual
Prefix:
First Name:ISMAIL
Middle Name:M
Last Name:MUHAMMD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 4TH ST STE 55
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-1689
Mailing Address - Country:US
Mailing Address - Phone:316-621-1224
Mailing Address - Fax:
Practice Address - Street 1:901 4TH ST STE 55
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-1689
Practice Address - Country:US
Practice Address - Phone:316-621-1224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)