Mohamad Istanboli, MD

Primary specialty

Vascular Neurology PhysicianTaxonomy code 2084V0102X

License

41634 Issued in KY

Practice address

150 N Eagle Creek Dr
Lexington, KY 40509-1805

Phone

(859) 967-5000

Fax

(606) 330-3100

NPI assigned

Apr 1, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1154593945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73652",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930002",
            "telephone_number": "606-330-3404",
            "fax_number": "606-330-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N EAGLE CREEK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091805",
            "telephone_number": "859-967-5000",
            "fax_number": "606-330-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISTANBOLI",
        "first_name": "MOHAMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "KY",
            "license": "41634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100063770",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bahaaeldeen Senousy Mohammed Ismail, M.D.
• Cayla Delynn Ison
• Charles G Ison
• Lynda L Ison, PHD
• Keziah Israel, BA, RBT
• Amanda Lee Istvan, MSW, CSW
• Misa Ito, MD PHD
• Shawnicka Diane Itson, B.A
• Achamma S Itticheria, MD
• Kenneth Charles Iverson, M.D.

• Vascular Neurology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Vascular Neurology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.