Stanisai, Khushal Alam
Stanisai, Khushal Alam is an individual health care provider with primary practice located at 10408 Industrial Circle , Redlands CA 92374-4548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Stanisai, Khushal Alam can be contacted via phone (909) 796-0363.Contact Information
Primary practice address
10408 Industrial Circle
Redlands CA 92374-4548
Phone: (909) 796-0363
Fax: (909) 796-0762
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A30298 | California |
Profile Details
NPI number | 1720019821 |
---|---|
LBN Legal business name | Stanisai, Khushal Alam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2006 |
Last updated | Aug 23rd, 2011 - about 14 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 | 1720019821 | NPPES |
California | MEDICAID | 00A302982 |
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