Issa Y. Hallaq, D.O.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

0834 Issued in AZ

Practice address

1 W Wetmore Rd
Suite 103
Tucson, AZ 85705-1687

Phone

(520) 293-4683

Fax

(520) 293-4683

NPI assigned

Aug 21, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1548417470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W WETMORE RD",
            "address_2": "SUITE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051687",
            "telephone_number": "520-293-4683",
            "fax_number": "520-293-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W WETMORE RD",
            "address_2": "SUITE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051687",
            "telephone_number": "520-293-4683",
            "fax_number": "520-293-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAQ",
        "first_name": "ISSA",
        "middle_name": "Y.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "0834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raysene R Hall, PMHNP-BC
• Robert P. Hall, M.A. LPC
• Thomas John Hall, RPH
• Virginia Lee Hall, L.P.N.
• Wilton Hall III
• Halle Chiropractic LLC
• Aaron T. Halle, D.C.
• Gail Caldwell Hallett, MS CCC SLP
• Eiliana Halloran, COTA
• Hamza Halloum, MD

• Geriatric Medicine (Internal Medicine) Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.