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Individual
DR. DANY ISSA
Active
Individual
DR. DANY ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
2012003326
MO
207RN0300X
Nephrology Physician
Primary
83802
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
2012003326
MISSOURI MEDICAL LICENSE
MO
01
—
333010247
SLUCARE MO MEDICARE PTAN
MO
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
02/13/2006
Last updated
03/05/2024
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