Doctor Name: | JOSEPH WAHEB ISKANDAR |
NPI Number: | 1215252143 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | |
Business Practice Address: | 2017 Jefferson St Sw Roanoke, VA - 240142419 |
Business Phone Number: | 5409817695 |
Business Fax Number: | |
Mailing Address: | 230 Spring Hollow Rd, TROUTVILLE |
State: | VA |
Postal Code: | 241756387 |
Phone Number: | 5405560121 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2010 |
NPI Last Update Date: | 04/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |