MEDICARE: RAOUF F ISKANDER MD INC

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
1	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	A33000	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1952386781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAOUF F ISKANDER MD INC

Provider Business Mailing Address
First Line	:	2621 S BRISTOL ST
Second Line	:	STE 206
City	:	SANTA ANA
State	:	CA
Zip	:	92704-5766
Country	:	US
Telephone Number	:	714-556-0678
Fax Number	:	714-556-6857

Provider Business Practice Location Address
First Line	:	2621 S BRISTOL ST
Second Line	:	STE 206
City	:	SANTA ANA
State	:	CA
Zip	:	92704-5766
Country	:	US
Telephone Number	:	714-556-0678
Fax Number	:	714-556-6857

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RAOUF F ISKANDER
Credential	:	MD
Telephone Number	:	714-556-0678

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	03/26/2008

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