Nedaa N. Issa, M.D.

Pediatrics Physician · Lodi, CA

Individual Active NPI

NPI number 1043453814

Practice location

1901 W Kettleman Ln Ste 200
Lodi, CA 95242-4337
Phone
(209) 334-8540
Fax
(209) 368-2885

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NPI record

NPI
1043453814
Entity type
Individual (Type 1)
Enumeration date
April 9, 2009
Last updated
March 27, 2025
Certified
March 27, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 152298 CA
Pediatrics Physician 208000000X 24915 WV

About Dr. Issa

Nedaa N. Issa, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1901 W Kettleman Ln Ste 200, Lodi, CA 95242-4337. The NPI number 1043453814 was assigned on April 9, 2009 and the record was last updated on March 27, 2025.

Dr. Issa lists 2 licenses in the registry: #152298 (CA) for Pediatrics Physician; #24915 (WV) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nedaa N. Issa, M.D.?

The NPI number is 1043453814.

What is the phone number of Dr. Issa?

The phone number listed for the practice location is (209) 334-8540.

Where is Dr. Issa located?

1901 W Kettleman Ln Ste 200, Lodi, CA 95242-4337.

What is the taxonomy code for Dr. Issa?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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