Individual
MICHAEL B BISHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 N MADISON AVE, PASADENA, CA 91101-1710
(626) 796-8102
(626) 796-8060
Mailing address
112 N MADISON AVE, PASADENA, CA 91101-1710
(626) 796-8102
(626) 796-8060
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
A34282
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340004152
RAILROAD MEDICARE
CA
01
—
W5818
GROUP PTAN
CA
Enumeration date
10/06/2006
Last updated
02/17/2009
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