Avasarala, Kishor
Avasarala, Kishor is an individual health care provider with primary practice located at 747 52Nd St Cardiology, Oakland CA 94609-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Avasarala, Kishor can be contacted via phone (510) 428-3294.Contact Information
Primary practice address
747 52Nd St Cardiology
Oakland CA 94609-1809
Phone: (510) 428-3294
Fax: (510) 428-3381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | A63007 | California |
Profile Details
| NPI number | 1508853011 |
|---|---|
| LBN Legal business name | Avasarala, Kishor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Jun 19th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508853011 | NPPES |
| California | MEDICAID | 00A630070 |
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