Individual
MARK-MINA MAHER ISHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1771 TATE BLVD SE STE 101, HICKORY, NC 28602-4250
(828) 304-2527
Mailing address
300 STEAM PLANT RD STE 300, GALLATIN, TN 37066-3089
(615) 328-3740
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
296442
NY
Other
Enumeration date
03/12/2013
Last updated
03/17/2025
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