National Provider Identifier
Ismat Mrad, MD
Ismat Mrad, MD is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Wellsville, NY and a listed phone number of (313) 657-3696.
Profile Overview
- NPI
- 1477221141
- Provider Type
- Individual
- Primary Specialty
- Anesthesiology Physician
- Enumeration Date
- August 30, 2021
- Last Updated
- September 19, 2023
Practice Location
- 191 N Main St
- Wellsville, NY 14895-1150
Phone: (313) 657-3696
Mailing Address
- 97 Fairlawn Ave
- Hornell, NY 14843-1744
Specialties
- Anesthesiology Physician (207L00000X)
Full Record
- NPI
- 1477221141
- Entity Type
- Individual
- Last Name
- Mrad
- First Name
- Ismat
- Credential
- MD
- Mailing Street Address
- 97 Fairlawn Ave
- Mailing City
- Hornell
- Mailing State
- NY
- Mailing ZIP Code
- 14843-1744
- Mailing Country
- US
- Mailing Phone
- (313) 657-3696
- Practice Street Address
- 191 N Main St
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895-1150
- Practice Country
- US
- Practice Phone
- (313) 657-3696
- Enumeration Date
- August 30, 2021
- Last Updated
- September 19, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 19, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anesthesiology Physician (207L00000X)