Active NPIIndividual provider

Ebteehal A Ismail

Physician Assistant in Longmeadow, Massachusetts

NPI Number1962135269
Practice location
588 Longmeadow St, Longmeadow, MA 01106-2292
Fax
—
Last updated
September 10, 2024

Ebteehal Adnan Ismail is a Physician Assistant based in Longmeadow, MA. Ebteehal Adnan Ismail practices in Longmeadow, MA. The NPI Number for Ebteehal Adnan Ismail is 1962135269 and holds a License No. 126735 (IA). The current practice location address for Ebteehal Adnan Ismail is 588 Longmeadow St, Longmeadow, MA 01106-2292 and can be reached out via phone at 413-565-1000.

Provider Profile Details

NPI Number
1962135269
Provider Name
Ebteehal Adnan Ismail
Provider Entity Type
Individual
Gender
Female
Address
588 Longmeadow St, Longmeadow, MA 01106-2292
Phone Number
413-565-1000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 5, 2022
Last Update Date
September 10, 2024
Certification Date
September 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
588 Longmeadow St
Longmeadow, MA 01106-2292
Zip
01106-2292
Phone Number
413-565-1000
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
588 Longmeadow St
Longmeadow, MA 01106-2292
City
Longmeadow
State
MA
Zip
01106-2292

License Information

License Number (2)
126735
License State (2)
IA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ebteehal A Ismail?

The NPI number of Ebteehal A Ismail is 1962135269. It was assigned on July 5, 2022 and is currently active in the NPPES registry.

What is the specialty of Ebteehal A Ismail?

Ebteehal A Ismail is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in IA under license number 126735.

Where does Ebteehal A Ismail practice?

The practice location is 588 Longmeadow St, Longmeadow, MA 01106-2292. The office can be reached at 413-565-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962135269 directly on the NPPES registry website.

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