Individual
DR. AHMAD I ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1952 LONG GROVE DR STE 2, MOUNT PLEASANT, SC 29464-7579
(854) 800-2377
Mailing address
2262 NORWOOD OAKS DR, MOUNT PLEASANT, SC 29466-7027
(813) 751-5055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME120546
FL
208M00000X
Hospitalist Physician
Primary
ME120546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012360600
—
FL
01
—
P01384022
MEDICARE RAILROAD PROVIDER NUMBER
FL
Enumeration date
01/27/2012
Last updated
05/15/2025
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