Organization
ISAM FELAHY M D INC
Active
Parent organization
ISAM FELAHY MD FRCS INC
Other names
ISAM FELAHY MD FRCS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISAM FELAHY MD FRCS INC
Authorized official
ISAM FELAHY M.D. (PRESIDENT)
(209) 466-3457
Entity
Organization
Contact information
Practice address
2800 N CALIFORNIA ST, SUITE 15, STOCKTON, CA 95204-3757
(209) 466-3457
(209) 466-1229
Mailing address
2800 N CALIFORNIA ST, SUITE 15, STOCKTON, CA 95204-3757
(209) 466-3457
(209) 466-1229
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A25226
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109416
—
CA
Enumeration date
06/14/2010
Last updated
08/04/2010
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