Provider Demographics
NPI:1528313210
Name:OSKUEI, ASSAD (MD)
Entity type:Individual
Prefix:DR
First Name:ASSAD
Middle Name:
Last Name:OSKUEI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02905-2711
Mailing Address - Country:US
Mailing Address - Phone:312-909-0243
Mailing Address - Fax:
Practice Address - Street 1:3851 KATELLA AVE STE 315
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3377
Practice Address - Country:US
Practice Address - Phone:562-626-8016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA193924207RP1001X
MA277667207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease