Individual
MAYADA HUSSAIN ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8229
Mailing address
213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
(540) 224-5516
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0058488
MD
207R00000X
Internal Medicine Physician
Primary
0101234451
VA
207R00000X
Internal Medicine Physician
22792
WV
Other
Enumeration date
12/05/2006
Last updated
07/21/2021
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