Provider Demographics
NPI:1235629338
Name:CAREWELL MEDICAL GROUP INC
Entity Type:Organization
Organization Name:CAREWELL MEDICAL GROUP INC
Other - Org Name:CAREWELL ARTHRITIS CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:KARNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-524-8987
Mailing Address - Street 1:18419 US HIGHWAY 18 STE 1
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2333
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18419 US HIGHWAY 18 STE 1
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2333
Practice Address - Country:US
Practice Address - Phone:760-524-8987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA132960207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty