Individual
DR. MEDHAT R ISKANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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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