Vasant, Kishore K
Vasant, Kishore K is an individual health care provider with primary practice located at 25102 Jefferson Ave Suite # C, Murrieta CA 92562-1707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Vasant, Kishore K can be contacted via phone (951) 698-8876.Contact Information
Primary practice address
25102 Jefferson Ave Suite # C
Murrieta CA 92562-1707
Phone: (951) 698-8876
Fax: (951) 698-5560
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | A33638 | California |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A33638 | California |
Profile Details
NPI number | 1790711661 |
---|---|
LBN Legal business name | Vasant, Kishore K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2006 |
Last updated | Jun 8th, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790711661 | NPPES |
California | MEDICAID | 00A336382 |
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