-- MUSSA BANISADRE -- MD
Individual Provider (NPI-1)
Active
Internal Medicine, Hematology & Oncology
Provider Information
- NPI Number
1043264690- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1325 MELROSE AVE SUITE A, MODESTO, CA, 953505508
- Phone
- (209) 524-7000
- Fax
- (209) 527-5601
Specialties & Taxonomies
Internal Medicine, Hematology & Oncology
Primary License: CA #A38740