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MUSSA BANISADRE MD INC NPI 1962677781


NPI Information

NPI: 1962677781
Provider Name: MUSSA BANISADRE MD INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1325 MELROSE AVE
SUITE A
MODESTO, CA
ZIP 95350
Phone: (209) 527-5601
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MUSSA BANISADRE MD INC is a hematology and oncology internal medicine in Modesto, CA. The provider is 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. MUSSA BANISADRE MD INC NPI is 1962677781. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1325 MELROSE AVE
SUITE A
MODESTO, CA
ZIP 95350-581
Phone: (209) 527-5601

The provider's authorized official is Mussa Banisadre .
The authorized official title is Md Owner and has the following contact phone number (209) 524-7000.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 7/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyA38740CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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