Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD-47190 | IA |
Y | 2080P0210X | Pediatric Nephrologist | MD-47190 | IA |
NPI | 1407231913 |
---|---|
Provider Name | Issa Alhamoud |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2015 |
Last Update Date | 16/07/2020 |