Individual
KAUSHIK MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MSCI
Contact information
Practice address
11370 ANDERSON ST STE 2100, LOMA LINDA, CA 92354-3450
(909) 558-2822
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-4701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A135788
CA
2086S0102X
Surgical Critical Care Physician
A135788
CA
2086S0127X
Trauma Surgery Physician
Primary
A135788
CA
Other
Enumeration date
02/09/2007
Last updated
11/07/2018
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