Ishak, Reda H
Ishak, Reda H is an individual health care provider with primary practice located at 274 Westfield St , West Springfield MA 01089-2572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ishak, Reda H can be contacted via phone (413) 733-1900.Contact Information
Primary practice address
274 Westfield St
West Springfield MA 01089-2572
Phone: (413) 733-1900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 80712 | Massachusetts |
Profile Details
| NPI number | 1366428013 |
|---|---|
| LBN Legal business name | Ishak, Reda H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366428013 | NPPES |
| Massachusetts | Other | 80712 | LICENSE NUMBER |
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