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Individual

DR. KANEYALAL BHAGWANJI TEJURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
760 WASHBURN AVE, SUITE # 20, CORONA, CA 92882-3303
(951) 734-1955
(951) 734-9154
Mailing address
760 WASHBURN AVE, SUITE # 20, CORONA, CA 92882-3303
(951) 734-1955
(951) 734-9154

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A30962
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A309620
MEDICAL
CA
Enumeration date
01/30/2007
Last updated
07/08/2007
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