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Organization
MICHAEL F BISHARA MD INC
Active
Organization
MICHAEL F BISHARA MD INC
Active
Other names
Michael F Bishara MD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F BISHARA (OWNER)
(951) 787-4885
Entity
Organization
Contact information
Practice address
6896 MAGNOLIA AVE, RIVERSIDE, CA 92506-2843
(951) 787-4885
(951) 787-4962
Mailing address
6896 MAGNOLIA AVE, RIVERSIDE, CA 92506-2843
(951) 787-4885
(951) 787-4962
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A43206
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
A43206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A32060
—
CA
Enumeration date
05/02/2007
Last updated
08/16/2010
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