Sherif Sayed Ismail MD PC
Skilled Nursing Facility in Lawton, OK. Organization (NPI-2).
NPI number1629328786
StatusActive
Last updated in NPPESSep 17, 2012
Details
- NPI
- 1629328786
- Entity type
- Organization (NPI-2)
- Legal business name
- Sherif Sayed Ismail MD PC
- Organization subpart
- No
- Enumeration date
- Sep 17, 2012
- Last updated
- Sep 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 22720 | OK | Yes |
Practice location
3201 W Gore BlvdSuite 105
Lawton, OK 73505-6378
Phone 580-510-7077 · Fax 580-510-7057
Mailing address
3201 W Gore BlvdSuite 105
Lawton, OK 73505-6378
Phone 580-510-7077 · Fax 580-510-7057
Authorized official
Sherif Sayed Ismail
Owner
5805107077
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