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DR. ISHAK BISHARA M.D.,
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1467536987
Individual Registrant:DR. ISHAK BISHARA M.D.,
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2006 DURFEE AVE SOUTH EL MONTE, CA 91733-3713 US
Tel: 626-442-5015 Fax: 626-442-7810
Tel: 626-442-5015 Fax: 626-442-7810
Contact information for business:
2006 DURFEE AVE SOUTH EL MONTE, CA 91733-3713 US
Tel: 626-442-5015 Fax: 626-442-7810
Tel: 626-442-5015 Fax: 626-442-7810
Registration Information:
NPI: 1467536987
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | A453810 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00A453810 | CA | 05 |
