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:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:130 UNIVERSITY DR STE 1100
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-1118
Practice Address - Country:US
Practice Address - Phone:740-692-4450
Practice Address - Fax:740-692-4451
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.137138207Q00000X
NC218295207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine