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Individual

DR. MEDHAT R ISKANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1197 AIRPORT RD STE 1, MILFORD, DE 19963-6418
(302) 734-5861
(302) 734-1921
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001921
VA
152W00000X
Optometrist
Primary
I3-0001299
DE
152W00000X
Optometrist
OEG001643
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0618001921
VA LICENSE
VA
05
1000038470
DE
01
11510387
CAQH
DE
01
1588630214
INDIVIDUAL NPI
DE
01
161525705
BCBSDE
DE
01
G00016
MEDICARE GROUP PIN
DE
01
I3-0001299
DE LICENSE
DE
Enumeration date
02/23/2006
Last updated
07/02/2024
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