Individual
ISSAM AFIF DAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8601 LA SALLE RD, SUITE 102, TOWSON, MD 21286-2004
(410) 825-6778
(410) 825-2744
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0033938
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEMBER PTAN UNKNOWN
MEDICARE
MD
01
—
P00812883
RAILROAD MEDICARE
GA
01
—
T854-0001
CAREFIRST
DC
01
—
T854-0001
CAREFIRST
MD
Enumeration date
02/14/2007
Last updated
09/21/2023
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