Dr Mark C Kiselow, MD is a
Surgery physician based in Indian Wells, California. Dr Mark C Kiselow is licensed to practice in California (license number C41506) and his current practice location is 76191 Shawnee Cir, Indian Wells, California. He can be reached at his office (for appointments etc.) via phone at
(760) 340-1273.
NPI number for Dr Mark C Kiselow is 1467509380 and his current mailing address is 76191 Shawnee Cir, Indian Wells, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467509380.
Physician's Profile
| Full Name | Dr Mark C Kiselow |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 76191 Shawnee Cir, Indian Wells, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467509380
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mark C Kiselow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467509380 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | C41506 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark C Kiselow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark C Kiselow, MD
76191 Shawnee Cir,
Indian Wells, CA 92210-8743
Ph: (760) 340-1273 | Dr Mark C Kiselow, MD
76191 Shawnee Cir,
Indian Wells, CA 92210-8743
Ph: (760) 340-1273 |
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