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Individual

JASKAMAL P KAHLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6750 E BAYWOOD AVE, 301, MESA, AZ 85206-1749
(480) 835-6100
Mailing address
6402 E SUPERSTITION SPRINGS BLVD STE 224, MESA, AZ 85206-4394
(480) 835-6100
(480) 461-4261

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
31362
AZ
207RI0011X
Interventional Cardiology Physician
Primary
31362
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74553
AZ
01
P00022765
RAIL ROAD MEDICARE
AZ
Enumeration date
03/08/2006
Last updated
06/10/2016
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