Borno, Sam

Borno, Sam is an individual health care provider with primary practice located at 30 River Park Pl W Suite #440, Fresno CA 93720-1545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Borno, Sam can be contacted via phone (559) 256-5500.

Contact Information

Primary practice address
30 River Park Pl W Suite #440 Fresno CA 93720-1545
Fax: (559) 256-5505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A44967 California

Profile Details

NPI number 1598758468
LBN Legal business name Borno, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Sep 27th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598758468 NPPES
California MEDICAID 00A449670

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