Most Relevant Information
Provider Data
| NPI Number: | 1003235243 |
| Provider Name: | OLUWASEYI SEGUN BALASIRE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 1118626 |
Most Important Dates
| Enumeration Date: | 04/15/2014 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
20103 LAKE CHABOT RD
CASTRO VALLEY
CA
945465305
Practice Location Phone/Fax
| Phone: | 5107273256 |
| Fax: | 5107273107 |
Provider Mailing Location
400 CHANEY RD APT 307
SMYRNA
TN
371672650
Provider Mailing Phone/Fax
| Phone: | 8133898614 |
| Fax: |
Suggested EMR
Internist EMR