Provider Demographics
NPI:1710192919
Name:RANA K. ISAQI , D.D.S
Entity Type:Organization
Organization Name:RANA K. ISAQI , D.D.S
Other - Org Name:DENTISTRY OF OLD TOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RANA
Authorized Official - Middle Name:K
Authorized Official - Last Name:ISAQI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-297-7722
Mailing Address - Street 1:3659 INDIA ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-4767
Mailing Address - Country:US
Mailing Address - Phone:619-297-7722
Mailing Address - Fax:
Practice Address - Street 1:3659 INDIA ST STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-4767
Practice Address - Country:US
Practice Address - Phone:619-297-7722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty