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NPI Code Detail

MEDICARE: DR. MUHAMMAD S ISA MD

MEDICARE: DR. MUHAMMAD S ISA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianN9879TX
2207L00000XAnesthesiology Physician036093948IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700878600
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUHAMMAD S ISA MD
Provider Business Mailing Address
First Line : 35 ALBANY RD
Second Line : SUITE C
City : CARBONDALE
State : IL
Zip : 62903-7605
Country : US
Telephone Number : 618-457-5111
Fax Number : 618-457-6560
Provider Business Practice Location Address
First Line : 405 W JACKSON ST
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-1462
Country : US
Telephone Number : 618-549-0721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 04/12/2024

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Directions to “ DR. MUHAMMAD S ISA MD” Practice Location

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