Provider Demographics
NPI:1861738676
Name:ISMAIL, FATIMA YOUSIF (MBBS)
Entity type:Individual
Prefix:DR
First Name:FATIMA
Middle Name:YOUSIF
Last Name:ISMAIL
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 S EDEN STREET
Mailing Address - Street 2:APT # 915
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231
Mailing Address - Country:US
Mailing Address - Phone:443-630-9539
Mailing Address - Fax:
Practice Address - Street 1:777 S EDEN ST
Practice Address - Street 2:APT # 915
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-3362
Practice Address - Country:US
Practice Address - Phone:443-630-9539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program