NPI

Abdelfatah Shaban Abou Issa

NPI 1245814037

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2021-05-08
Last updated
2025-11-17

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Specialties

Licenses

License OH
35.151776

Location

Practice location
Geisinger Wyoming Valley 1000 East Mountain Blvd Wilkes
City
Wilkes-Barre PA
Postal code
18711
Phone
(570) 808-3596

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

NPIs in Pennsylvania. Wilkes-Barre is not in the city index, so start from the state.

Public data from NPPES and CMS. Not a credentialing determination.

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