NPI 1245814037 · live from the CMS NPI Registry
Abdelfatah Shaban Abou Issa, MD
Internal Medicine in Wilkes-Barre, PA. National Provider Identifier 1245814037, active.
NPI record
| NPI | 1245814037 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | Geisinger Wyoming Valley 1000 East Mountain Blvd Wilkes, Wilkes-Barre, PA 18711 |
| Practice phone | 570-808-3596 |
| Mailing address | 3594 Armada Dr, Beavercreek, OH 45431 |
| Enumerated | May 8, 2021 |
| Last updated | November 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine primary | 207R00000X | 35.151776 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.