Individual
KANWALJIT SINGH KAHLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 PRAIRIE CITY RD, FOLSOM, CA 95630-9594
(916) 351-4800
(916) 351-4899
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0090-00837
NC
207R00000X
Internal Medicine Physician
C54684
CA
208M00000X
Hospitalist Physician
Primary
C54684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C54684
MEDICAL STATE LICENSE
CA
Enumeration date
09/12/2006
Last updated
03/16/2020
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