Individual
DR. DANY ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2145
Mailing address
PO BOX 23321, MUSC, NEW YORK, NY 10087-0001
(803) 395-2145
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
2012003326
MO
207RN0300X
Nephrology Physician
Primary
83802
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
2012003326
MISSOURI MEDICAL LICENSE
MO
01
—
333010247
SLUCARE MO MEDICARE PTAN
MO
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
02/13/2006
Last updated
03/05/2024
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