Individual
KULBHUSHAN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13634 N. 93RD AVE., SUITE 100, PEORIA, AZ 85381
(623) 933-0301
(623) 933-0224
Mailing address
13634 N. 93RD AVE., SUITE 100, PEORIA, AZ 85381
(623) 933-0301
(623) 933-0224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22557
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182006
—
AZ
01
—
22557
STATE LICENSE
AZ
Enumeration date
10/14/2005
Last updated
03/07/2023
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