Kuldanek, Gregory

Kuldanek, Gregory is an individual health care provider with primary practice located at 82915 Avenue 48 , Indio CA 92201-6757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kuldanek, Gregory can be contacted via phone (760) 352-4414.

Contact Information

Primary practice address
82915 Avenue 48 Indio CA 92201-6757
Fax: (616) 957-7913
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301047564 Michigan

Profile Details

NPI number 1568410496
LBN Legal business name Kuldanek, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Mar 23rd, 2021 - about 3 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 1568410496 NPPES
Michigan MEDICAID 1780407

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