Individual
DR. MICHAEL C KUSHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2505 SAMARITAN DRIVE, SUITE # 502, SAN JOSE, CA 95124-4014
(408) 356-0468
(408) 356-4821
Mailing address
2505 SAMARITAN DRIVE, SUITE # 502, SAN JOSE, CA 95124-4014
(408) 356-0468
(408) 356-4821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G29074
CA
207RG0100X
Gastroenterology Physician
Primary
G29074
CA
Other
Enumeration date
08/19/2006
Last updated
11/10/2015
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