Mussa Banisadre, MD
Mussa Banisadre, MD is a Hematology in Modesto, California. Qualified in 1973, 53 years ago. Practices with Stockton Hematology Oncology Medical Group Inc, a 9-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 53
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1325 Melrose Ave Ste AModesto, CA 95350-5508
Phone: (209) 524-7000
Fax: (209) 527-5601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Hematology & Oncology Physician (primary) | Taxonomy 207RH0003X · Licence A38740 (CA) |
|---|
Record details
| NPI number | 1043264690 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 19, 2006 |
| Last updated in NPPES | April 14, 2008 |
| Mailing address | 1325 Melrose Ave, Suite A, Modesto, CA 95350-5508 |
Medicare enrollment
| Medicare specialty | HEMATOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1973 (53 years in practice) |
| Group practice | Stockton Hematology Oncology Medical Group Inc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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