Individual
DR. GHADA K KASSAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4606 MISSION BAY DR, SAN DIEGO, CA 92109-4921
(858) 273-2726
(858) 273-2725
Mailing address
4606 MISSION BAY DR, SAN DIEGO, CA 92109-4921
(858) 273-2726
(858) 273-2725
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01069398A
IN
207N00000X
Dermatology Physician
11013338A
IN
207N00000X
Dermatology Physician
Primary
A114457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000720044
ANTHEM PROVIDER NUMBER
IN
05
—
201024080
—
IN
Enumeration date
06/10/2008
Last updated
05/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us