Individual
DR. ALI BANISAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 N SUNRISE AVE STE 1202, ROSEVILLE, CA 95661-2932
(916) 789-1505
Mailing address
151 N SUNRISE AVE STE 1202, ROSEVILLE, CA 95661-2932
(916) 789-1505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301503338
MI
207R00000X
Internal Medicine Physician
Primary
A202591
CA
Other
Enumeration date
06/07/2018
Last updated
07/19/2025
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