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Individual

DR. KISHORE SEHGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 N SAN JACINTO ST, HEMET, CA 92543-3113
(951) 766-6460
(951) 766-6459
Mailing address
40229 DONOMORE CT, TEMECULA, CA 92591-1611
(951) 695-2648

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A42484
CA
207RH0003X
Hematology & Oncology Physician
Primary
A42484
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A424840
CA
01
05D1062719
CLIA NUMBER
CA
01
1225222029
MEDICARE PART B DME
CA
01
1457545840
MEDICARE PART B DME
CA
01
1558555938
MEDICARE PART B DME
CA
01
1962696344
MEDICARE PART B DME
CA
01
5945420001
MEDICARE PART D DME
CA
01
5945420002
MEDICARE PART D DME
CA
01
5945420003
MEDICARE PART D DME
CA
01
5945420004
MEDICARE PART D DME
CA
Enumeration date
06/30/2005
Last updated
10/03/2018
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