Balasire, Oluwaseyi Segun
Balasire, Oluwaseyi Segun is an individual health care provider with primary practice located at 20103 Lake Chabot Rd , Castro Valley CA 94546-5305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Balasire, Oluwaseyi Segun can be contacted via phone (510) 727-3256.Contact Information
Primary practice address
20103 Lake Chabot Rd
Castro Valley CA 94546-5305
Phone: (510) 727-3256
Fax: (510) 727-3107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1118626 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 56261 | Tennessee |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A152926 | California |
Profile Details
| NPI number | 1003235243 |
|---|---|
| LBN Legal business name | Balasire, Oluwaseyi Segun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2014 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003235243 | NPPES |
| California | Other | 1118626 | AMERICAN BOARD OF INTERNAL MEDICINE |
| California | Other | A152926 | AMERICAN BOARD OF INTERNAL MEDICINE |
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