Individual
NISCHAL KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1395 KIMIYO ST, STOCKTON, CA 95206-5630
(209) 234-0377
(209) 234-0387
Mailing address
1395 KIMIYO ST, STOCKTON, CA 95206-5630
(209) 234-0377
(209) 234-0387
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN01249F
PROVIDER NUMBER
CA
Enumeration date
03/27/2007
Last updated
07/08/2007
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