Most Relevant Information
Provider Data
| NPI Number: | 1003558636 |
| Provider Name: | ISHA RAO DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/13/2022 |
| Last Updated: | 05/12/2023 |
Provider Practice Location
450 CLARKSON AVE
BROOKLYN
NY
112032012
Practice Location Phone/Fax
| Phone: | 7182708867 |
| Fax: |
Provider Mailing Location
2405 BUFFALO AVE
TREVOSE
PA
190536928
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |