Individual
ANKUSH KALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
50 ACACIA AVE, SAN RAFAEL, CA 94901-2230
(415) 457-4440
Mailing address
4174 DELAWARE DR, FREMONT, CA 94538-6009
(510) 364-7174
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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