| Kishor Vachhani MD Inc | |
|
81833 Dr Carreon Blvd Ste 7 Indio CA 92201-5590 | |
| (760) 775-8889 | |
| (760) 775-6192 |
| Full Name | Kishor Vachhani MD Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 81833 Dr Carreon Blvd Ste 7, Indio, California |
| Authorized Official Name and Position | Kishor D Vachhani (PHYSICIAN) |
| Authorized Official Contact | 7603912049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kishor Vachhani MD Inc 81833 Dr Carreon Blvd Ste 7 Indio CA 92201-5590 Ph: (760) 775-8889 | Kishor Vachhani MD Inc 81833 Dr Carreon Blvd Ste 7 Indio CA 92201-5590 Ph: (760) 775-8889 |
| NPI Number | 1760074124 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 02/08/2021 |
| Certification Date | 02/08/2021 |
| Medicare PECOS PAC ID | 0749697621 |
|---|---|
| Medicare Enrollment ID | O20210319000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760074124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Kishor D Vachhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750479168 PECOS PAC ID: 3072657410 Enrollment ID: I20100223000280 |
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