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
Phone: (760) 352-4414
Fax: (616) 957-7913
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1568410496 | NPPES |
| Michigan | MEDICAID | 1780407 |
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