Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD058262L | PA |
NPI | 1699961250 |
---|---|
Provider Name | Dr. Samir Issa |
First Address | Pittsburgh, PA 15206-1206 |
Second Address | Pittsburgh, PA 15206-1206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2007 |
Last Update Date | 18/09/2007 |