Individual provider · NPI-1

Jumana Mary Bisharat-Kernizan, M.D.

Radiology, Diagnostic Radiology · Roseville, CA

NPI number1962933929
StatusActive
Last updated in NPPESAug 22, 2023

Details

NPI
1962933929
Entity type
Individual (NPI-1)
Name
Jumana Mary Bisharat-Kernizan
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 22, 2017
Certification date
Aug 22, 2023
Last updated
Aug 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyA187232CAYes

Practice location

1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941

Phone 916-535-2030 · Fax 916-536-3061

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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