Individual
ABDELFATAH SHABAN ABOU ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
GEISINGER WYOMING VALLEY 1000 EAST MOUNTAIN BLVD WILKES, WILKES-BARRE, PA 18711
(570) 808-3596
(570) 808-5967
Mailing address
3594 ARMADA DR, BEAVERCREEK, OH 45431-5792
(360) 292-0229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.151776
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2021
Last updated
11/17/2025
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