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Individual

EMAD D BISHAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3156 VISTA WAY, SUITE 405, OCEANSIDE, CA 92056-3622
(760) 439-6581
(760) 439-6585
Mailing address
2604 EL CAMINO REAL, SUITE 392, CARLSBAD, CA 92008-1205
(760) 633-2320

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
77193
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A771930
CA
Enumeration date
10/17/2005
Last updated
12/17/2008
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