Provider Demographics
NPI:1386090330
Name:ISRAEL, CASSANDRA LOUISE (MD)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:LOUISE
Last Name:ISRAEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CASSANDRA
Other - Middle Name:LOUISE
Other - Last Name:VAFLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:590 MANNING DR
Mailing Address - Street 2:CB# 7595
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-6119
Mailing Address - Country:US
Mailing Address - Phone:919-966-3456
Mailing Address - Fax:919-966-6125
Practice Address - Street 1:590 MANNING DR
Practice Address - Street 2:CB# 7595
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-6119
Practice Address - Country:US
Practice Address - Phone:919-966-3456
Practice Address - Fax:919-966-6125
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC218295207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program