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Mussa Banisadre Md Inc
Hematology & Oncology Physician in Modesto, California
NPI 1962677781

Mussa Banisadre Md Inc is a Hematology & Oncology Physician based in Modesto, CA and is specialized in Hematology & Oncology. Mussa Banisadre Md Inc practices in Modesto, CA. The NPI Number for Mussa Banisadre Md Inc is 1962677781 and holds a License No. A38740 (California).

The current practice location address for Mussa Banisadre Md Inc is 1325 Melrose Ave, Modesto, CA and can be reached out via phone at 209-527-5601. You can also correspond with Mussa Banisadre Md Inc through the mailing address at 1325 MELROSE AVE, MODESTO, CA - 95350-5581 (mailing address contact number: 209-527-5601).

Location: 1325 Melrose Ave, Modesto, CA, 95350-5581
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962677781
Provider Name
Mussa Banisadre Md Inc
Credential
Provider Entity Type
Organization
Address
1325 Melrose Ave, Modesto, CA, 95350-5581
Phone Number
209-527-5601
Fax Number
Provider Enumeration Date
04/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1325 Melrose Ave
City
Modesto
State
California
Zip
95350-5581
Phone Number
209-527-5601
Fax Number
person
Provider Business Mailing Address Details
Address
1325 Melrose Ave
City
Modesto
State
California
Zip
95350-5581
Phone Number
209-527-5601
Fax Number
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.
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