Individual
DR. MAJD ISREB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-2727
Mailing address
6004 TEE CT, FARMINGTON, NM 87402-4925
(505) 327-1157
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
2003-0641
NM
207RN0300X
Nephrology Physician
Primary
MD00048412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0224944
LABOR & INDUSTRIES
WA
05
—
83529837
—
CO
05
—
8493637
—
WA
05
—
85953865
—
NM
05
—
869729
—
AZ
01
—
8945414
L&I CRIME VICTIMS
WA
01
—
P00104421
RAILROAD MEDICARE
—
Enumeration date
05/19/2006
Last updated
11/14/2007
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