Fuad Issa MD PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FUAD ISSA MD PLLC

Practice address

6842 Elm St Ste 103
MC Lean, VA 22101-3844

Phone

(301) 565-2250

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Fuad Issa, MD

Title

Owner

Phone

(301) 565-2250

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1609180256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 ELM ST STE 103",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 ELM ST STE 103",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013844",
            "telephone_number": "301-565-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUAD ISSA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "FUAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-565-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.