Individual
IYAD ISSEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101271952
VA
207R00000X
Internal Medicine Physician
4301105648
MI
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
0101271952
VA
207RC0000X
Cardiovascular Disease Physician
0101271952
VA
207RC0000X
Cardiovascular Disease Physician
4301501169
MI
Other
Enumeration date
04/01/2014
Last updated
08/27/2021
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