Healthcare Provider Details

I. General information

NPI: 1902435738
Provider Name (Legal Business Name): PETER ALEXANDER ISKANDER M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 05/08/2020
Certification Date: 05/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 E MARKET STREET, 7TH FLOOR
WARREN OH
44483
US

IV. Provider business mailing address

58 CASSANDRA CRESCENT
RICHMOND HILL ON
L4B4AI
CA

V. Phone/Fax

Practice location:
  • Phone: 330-841-9647
  • Fax: 330-841-9645
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: