Individual
DALIA ISHAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021020525
MO
208000000X
Pediatrics Physician
Primary
4301511206
MI
Other
Enumeration date
06/27/2021
Last updated
02/26/2025
Update your record
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