location
search-icon
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. You can also correspond with Mussa Banisadre through the mailing address at 1325 MELROSE AVE, MODESTO, CA - 95350-5508 (mailing address contact number: 209-524-7000).

Location: 1325 Melrose Ave, Modesto, CA, 95350-5508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Modesto
State
California
Zip
95350-5508
Phone Number
209-524-7000
Fax Number
209-527-5601
person
Provider Business Mailing Address Details
Address
1325 Melrose Ave
City
Modesto
State
California
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
207RH0003X
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.