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Individual

SANJIV M KAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
840 S AKERS ST, VISALIA, CA 93277-8309
(559) 624-3710
(559) 635-4001
Mailing address
PO BOX 6098, VISALIA, CA 93290-6098
(559) 802-3635

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A11357
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200012700A
OK
01
487023200
DOL
OK
01
7141450
AETNA
OK
01
P00031487
RAILROAD MEDICARE
OK
Enumeration date
09/19/2005
Last updated
06/22/2011
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