person
Mussa Banisadre, MD
Hematology & Oncology Physician in Modesto, California
NPI 1043264690

Mussa Banisadre is a Hematology & Oncology Physician based in Modesto, CA and is specialized in Hematology & Oncology. Mussa Banisadre practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Mussa Banisadre is 1043264690 and holds a License No. A38740 (California).

The current practice location address for Mussa Banisadre is 1325 Melrose Ave, Modesto, CA and can be reached out via phone at 209-524-7000 and via fax at 209-527-5601.

Location: 1325 Melrose Ave, Modesto, CA, 95350-5508
person
Provider Profile Details
NPI Number
1043264690
Provider Name
Mussa Banisadre
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1325 Melrose Ave, Modesto, CA, 95350-5508
Phone Number
209-524-7000
Fax Number
209-527-5601
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1325 Melrose Ave
City
State
Zip
95350-5508
Phone Number
209-524-7000
Fax Number
209-527-5601
person
Provider Business Mailing Address Details
Address
1325 Melrose Ave
City
State
Zip
95350-5508
Phone Number
209-524-7000
Fax Number
209-527-5601
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
A38740 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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