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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1720019821 NPPES
California MEDICAID 00A302982

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