Individual
KISHOR D POPAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1505 SHEPARD DR, SUITE 203, SANTA MARIA, CA 93454-7020
(805) 922-6990
(805) 347-9920
Mailing address
1505 SHEPARD DR, SUITE 203, SANTA MARIA, CA 93454-7020
(805) 922-6990
(805) 347-9920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A 39601
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A 39601
STATE LICENSE
CA
Enumeration date
02/07/2007
Last updated
07/08/2007
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