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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790711661 NPPES
California MEDICAID 00A336382

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