Individual
MR. ISSA DAKKAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6660 COYLE AVE, CARMICHAEL, CA 95608
(916) 966-6544
Mailing address
5530 BIRDCAGE STREET, STE #145, CITRUS HEIGHTS, CA 95610
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A40784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A407840
BS OF CA
CA
05
—
00A407840
—
CA
Enumeration date
05/28/2006
Last updated
07/08/2007
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