| Dr Saira Banu Ismail, MD | |
| 5778 Darrow Rd, Suite D, Hudson, OH 44236-3808 | |
| (330) 655-2161 | |
| (330) 650-2116 | 
| Full Name | Dr Saira Banu Ismail | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 5778 Darrow Rd, Hudson, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023001203 | NPI | - | NPPES | 
| 2066311 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.069651 (Ohio) | Primary | 
| Entity Name | Osup Community Outreach Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Saira Banu Ismail, MD 5778 Darrow Rd, Suite D, Hudson, OH 44236-3808 Ph: (330) 655-2161 | Dr Saira Banu Ismail, MD 5778 Darrow Rd, Suite D, Hudson, OH 44236-3808 Ph: (330) 655-2161 | 
| Dr. Julie Z Shott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 231 Seasons Rd, Suite 200, Hudson, OH 44224 Phone: 330-971-7571 Fax: 330-255-5093 | |
| Tara Reilly, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7777 Alexandra Dr, Hudson, OH 44236 Phone: 440-225-8197 | |
| Elaine Chung Boyd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5655 Hudson Dr Ste 130, Hudson, OH 44236 Phone: 330-655-3840 Fax: 330-655-3845 | |
| Clayton W Seiple, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5655 Hudson Dr Ste 130, Hudson, OH 44236 Phone: 330-655-3820 Fax: 330-655-3825 | |
| Jennifer Marie Pamfilie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5655 Hudson Dr Ste 303, Hudson, OH 44236 Phone: 330-800-4800 Fax: 330-653-3016 | |
| Dr. Jeanette Ann Moleski, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1320 Corporate Dr, 200, Hudson, OH 44236 Phone: 330-655-2668 Fax: 330-342-5608 |