Individual
DENISE SORGET KULESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245-4817
(281) 766-0959
Mailing address
PO BOX 15638, SCOTTSDALE, AZ 85267-5638
(480) 728-3179
(480) 821-3989
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
35234
AZ
2085N0904X
Nuclear Radiology Physician
35234
AZ
2085P0229X
Pediatric Radiology Physician
35234
AZ
2085R0001X
Radiation Oncology Physician
35234
AZ
2085R0202X
Diagnostic Radiology Physician
35234
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
ME162402
FL
2085R0203X
Therapeutic Radiology Physician
35234
AZ
2085R0204X
Vascular & Interventional Radiology Physician
35234
AZ
2085U0001X
Diagnostic Ultrasound Physician
35234
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103679
—
IL
Enumeration date
07/08/2006
Last updated
01/09/2025
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