Individual
ISAM FELAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
08/31/2006
Last updated
06/08/2010
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