Provider Demographics
NPI:1598403255
Name:ISMAIL, YASMIN MOHAMED
Entity type:Individual
Prefix:
First Name:YASMIN
Middle Name:MOHAMED
Last Name:ISMAIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 E DUBLIN GRANVILLE RD STE 300P
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4413
Mailing Address - Country:US
Mailing Address - Phone:614-596-1765
Mailing Address - Fax:
Practice Address - Street 1:2700 E DUBLIN GRANVILLE RD STE 300P
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4413
Practice Address - Country:US
Practice Address - Phone:614-596-1765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2024-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker