Provider Demographics
NPI:1740913235
Name:ISHMAEL, NDAYISHIMIYE V
Entity type:Individual
Prefix:
First Name:NDAYISHIMIYE
Middle Name:V
Last Name:ISHMAEL
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 1:2121 E CAULDER AVE APT 13
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50320-1943
Mailing Address - Country:US
Mailing Address - Phone:210-909-8735
Mailing Address - Fax:
Practice Address - Street 1:2121 E CAULDER AVE APT 13
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50320-1943
Practice Address - Country:US
Practice Address - Phone:210-909-8735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-03
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)