Individual
EMILIA BANISAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 DOUGLAS BLVD STE 200, ROSEVILLE, CA 95661-3868
(916) 774-8384
(916) 774-8327
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A202744
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2017
Last updated
08/12/2025
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