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MUSSA BANISADRE MD INC
NPI 1962677781
Internal Medicine - Hematology & Oncology in Modesto, CA

Active since April 23, 2008
1325 MELROSE AVE, SUITE A, MODESTO, CA 95350(209) 527-5601 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mussa Banisadre Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUSSA BANISADRE MD INC (NPI 1962677781) is a healthcare organization registered as a hematology & oncology in Modesto, California and active in the NPI registry since April 2008. The organization lists Mussa Banisadre, Md Owner, as its authorized official.

NPPES Registry Identity

NPI1962677781
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMUSSA BANISADRE MD INC
Location Address1325 MELROSE AVE, SUITE AModesto, CA 95350-5581
Mailing Address1325 Melrose Ave, Suite AModesto, CA 95350-5581 · (209) 527-5601
Phone(209) 527-5601
Organization SubpartNo
Authorized OfficialMussa BanisadreMd Owner · (209) 524-7000
Enumeration DateApril 23, 2008
Last NPPES UpdateJuly 11, 2008
✔ NPI 1962677781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CA · A38740
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.

1325 MELROSE AVE, Modesto, CA 95350
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Reviews for MUSSA BANISADRE MD INC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

CALIFORNIA CANCER CARE MEDICAL GROUP
Internal Medicine (Hematology & Oncology)
1325 MELROSE AVE, SUITE A
MODESTO, CA 95350
Stanislaus County (209) 524-7000
MUSSA BANISADRE MD
Internal Medicine (Hematology & Oncology)
1325 MELROSE AVE, SUITE A
MODESTO, CA 95350
Stanislaus County (209) 524-7000

Frequently Asked Questions

What is MUSSA BANISADRE MD INC's NPI number?

The NPI number assigned to this healthcare provider is 1962677781, enumerated as an "organization" on April 23, 2008.

Where is the provider located?

The provider is located at 1325 MELROSE AVE SUITE A MODESTO, CA 95350 and the phone number is (209) 527-5601.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.