Ghadir Abdelhadi Issa, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J5165 Issued in TX

Practice address

947 Scotland Dr Ste 101
Desoto, TX 75115-2093

Phone

(214) 217-4011

Fax

(217) 217-4016

NPI assigned

May 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gissa45086@direct.childrens.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ghadir Issa MD PA

  • Pediatrics Physician
  • Desoto, TX
  • NPI 1396920922
  NPD (past) Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1720035298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 SCOTLAND DR STE 101",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152093",
            "telephone_number": "214-217-4011",
            "fax_number": "217-217-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 SCOTLAND DR STE 101",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152093",
            "telephone_number": "214-217-4011",
            "fax_number": "217-217-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSA",
        "first_name": "GHADIR",
        "middle_name": "ABDELHADI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J5165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121411603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Husna Iqbal
• Damian Irabor, NP-C
• Irc Diagnostics
• Alana Irvin, RD
• Christopher Giles Irwin, M.D.
• Tesneem Issa, DO
• It'S Magic Moments Lingerie
• J R Henderson & Associates, LLC
• J. L. E. Endless Possibilities, Inc.
• Jackson Support Services

• Pediatrics Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.