| Michael C Kushlan Md Inc | |
|
2512 Samaritan Ct Ste G San Jose CA 95124-4002 | |
| (408) 356-0468 | |
| (408) 356-4821 |
| Full Name | Michael C Kushlan Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2512 Samaritan Ct Ste G, San Jose, California |
| Authorized Official Name and Position | Michael Charles Kushlan (PRESIDENT) |
| Authorized Official Contact | 4083560468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C Kushlan Md Inc 2512 Samaritan Ct Ste G San Jose CA 95124-4002 Ph: (408) 356-0468 | Michael C Kushlan Md Inc 2512 Samaritan Ct Ste G San Jose CA 95124-4002 Ph: (408) 356-0468 |
| NPI Number | 1376859231 |
|---|---|
| Provider Enumeration Date | 08/29/2010 |
| Last Update Date | 06/23/2012 |
| Medicare PECOS PAC ID | 5395903215 |
|---|---|
| Medicare Enrollment ID | O20120223000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376859231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Michael C Kushlan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538273073 PECOS PAC ID: 8527075969 Enrollment ID: I20120223000669 |
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