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GHADIR ISSA MD PA
NPI 1396920922
Pediatrics in Desoto, TX

Active since January 02, 2008CLIA 45D0942237 · Waiver
947 SCOTLAND DRIVE, SUITE 101, DESOTO, TX 75115(214) 217-4011(214) 217-4016 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ghadir Issa Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GHADIR ISSA MD PA (NPI 1396920922) is a healthcare organization registered as a pediatrics in Desoto, Texas and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through March 8, 2028 and lists Ghadir A Issa, President, as its authorized official.

NPPES Registry Identity

NPI1396920922
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGHADIR ISSA MD PA
Location Address947 SCOTLAND DRIVE, SUITE 101Desoto, TX 75115-2093
Mailing Address947 Scotland Drive, Suite 101Desoto, TX 75115-2093 · (214) 217-4011 · Fax (214) 217-4016
Phone(214) 217-4011
Fax(214) 217-4016
Organization SubpartNo
Authorized OfficialGhadir A IssaPresident · (214) 217-4011
Enumeration DateJanuary 2, 2008
Last NPPES UpdateMarch 1, 2019
✔ NPI 1396920922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · J5165
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
947 SCOTLAND DRIVE, Desoto, TX 75115
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0942237

Ghadir A Issa MD · Desoto, TX
Active · expires Mar 8, 2028
CLIA Number45D0942237
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorShirley Butler
Laboratory Phone(972) 217-4011
Laboratory LocationGhadir A Issa MD947 Scotland Drive Suite 101, Desoto, TX 75115
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ghadir Issa MD PA's NPI number?

The NPI number for Ghadir Issa MD PA is 1396920922. It was assigned to this organization in the NPPES registry on January 2, 2008.

Where is Ghadir Issa MD PA located?

Ghadir Issa MD PA is located at 947 Scotland Drive Suite 101, Desoto, TX 75115. The listed phone number is (214) 217-4011.

What is Ghadir Issa MD PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Ghadir Issa MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0942237) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ghadir Issa MD PA was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.