Individual
ROBERT J ISHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-4339
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07022100
NJ
207R00000X
Internal Medicine Physician
Primary
40223
SC
207R00000X
Internal Medicine Physician
D0068235
MD
207R00000X
Internal Medicine Physician
MF070336L
PA
Other
Enumeration date
08/19/2005
Last updated
04/19/2021
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