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Contact Information

MOUHAMED YAZAN ABOU ISMAIL, MD
1425 PORTLAND AVE
ROCHESTER, NY14621-3001
 Phone: 585-336-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MOUHAMED YAZAN ABOU ISMAIL · (Male)

NPI # 1336553676
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2014
Last updated 10/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 11619970-1205
Hospital affiliation(s)
  • UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS - (Acute Care)
    50 NORTH MEDICAL DRIVE
    SALT LAKE CITY, UT 84132
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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