Individual
DR. MUHAMMAD S ISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
Mailing address
35 ALBANY RD, SUITE C, CARBONDALE, IL 62903-7605
(618) 457-5111
(618) 457-6560
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036093948
IL
207L00000X
Anesthesiology Physician
N9879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093948
—
IL
Enumeration date
08/17/2005
Last updated
04/12/2024
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