Kaisey, Mushrik

Kaisey, Mushrik is an sole proprietor health care provider with primary practice located at 340 4Th Ave #9, Chula Vista CA 91910-3813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Kaisey, Mushrik can be contacted via phone (619) 426-9731.

Contact Information

Primary practice address
340 4Th Ave #9 Chula Vista CA 91910-3813
Fax: (619) 427-9733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A72963 California

Profile Details

NPI number 1386654010
LBN Legal business name Kaisey, Mushrik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jun 15th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386654010 NPPES
California MEDICAID 00A729631

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