Individual
MADHAV VISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
747 52ND STREET, OAKLAND, CA 94609
(510) 428-3000
Mailing address
995 POTRERO AVENUE, BLDG. 80 WARD 86, SAN FRANCISCO, CA 94110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A154321
CA
207RH0003X
Hematology & Oncology Physician
A154321
CA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A154321
CA
Other
Enumeration date
03/29/2014
Last updated
08/06/2023
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