Provider Demographics
NPI:1831209394
Name:HYSELL, STEVEN E (MD)
Entity type:Individual
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First Name:STEVEN
Middle Name:E
Last Name:HYSELL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4910 E CLINTON WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-1560
Mailing Address - Country:US
Mailing Address - Phone:559-443-2682
Mailing Address - Fax:559-443-2681
Practice Address - Street 1:2335 E KASHIAN LN
Practice Address - Street 2:SUITE 301
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701-2230
Practice Address - Country:US
Practice Address - Phone:559-320-0530
Practice Address - Fax:559-320-0232
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2021-12-15
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Provider Licenses
StateLicense IDTaxonomies
CAA72897207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A728970Medicaid
CA00A728970Medicaid
CA00728970Medicare ID - Type Unspecified