Individual
DR. MICHAEL F BISHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
A432060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720200850
NPI
CA
01
—
1932491271
NPI
CA
Enumeration date
09/27/2006
Last updated
07/12/2012
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