Individual
DR. FUAD ISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6842 ELM ST 103, MCLEAN, VA 22101-3844
(703) 795-5541
Mailing address
6842 ELM ST 103, MCLEAN, VA 22101-3844
(703) 795-5541
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101045871
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007110791
—
VA
Enumeration date
12/29/2006
Last updated
10/22/2015
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