Individual
SUSHANT P KALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 N LITCHFIELD RD STE 500, GOODYEAR, AZ 85395-1228
(480) 420-0749
(480) 420-0732
Mailing address
1325 N LITCHFIELD RD STE 125, GOODYEAR, AZ 85395-1228
(623) 242-1231
(623) 242-1232
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036-127924
IL
2084V0102X
Vascular Neurology Physician
036-127924
IL
2084V0102X
Vascular Neurology Physician
Primary
57723
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127924
—
IL
Enumeration date
04/16/2007
Last updated
07/29/2019
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