Provider Demographics
NPI:1659369601
Name:ISKANDER, NADER G (MD)
Entity Type:Individual
Prefix:
First Name:NADER
Middle Name:G
Last Name:ISKANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2810 N LOOP 1604 W
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-2222
Mailing Address - Country:US
Mailing Address - Phone:210-822-9800
Mailing Address - Fax:210-822-9810
Practice Address - Street 1:2810 N LOOP 1604 W
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-2222
Practice Address - Country:US
Practice Address - Phone:210-822-9800
Practice Address - Fax:210-822-9810
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5383207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155872802Medicaid
TX155872802Medicaid
TX8C7105Medicare PIN