Provider Demographics
NPI:1790491850
Name:KAKAL PULMONARY AND CRITICAL CARE INC.
Entity Type:Organization
Organization Name:KAKAL PULMONARY AND CRITICAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KHADIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KAKAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-884-0700
Mailing Address - Street 1:PO BOX 77790
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92877-0126
Mailing Address - Country:US
Mailing Address - Phone:800-626-2468
Mailing Address - Fax:951-272-1598
Practice Address - Street 1:7320 WOODLAKE AVE STE 290
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1490
Practice Address - Country:US
Practice Address - Phone:747-236-1666
Practice Address - Fax:747-200-2572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty