Provider Demographics
NPI:1720122260
Name:KULMOHAN SANGHA, D.C.
Entity Type:Organization
Organization Name:KULMOHAN SANGHA, D.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KULMOHAN
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SANGHA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-796-5555
Mailing Address - Street 1:3705 BEACON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1467
Mailing Address - Country:US
Mailing Address - Phone:510-796-5555
Mailing Address - Fax:510-796-7044
Practice Address - Street 1:3705 BEACON AVE STE 200
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1467
Practice Address - Country:US
Practice Address - Phone:510-796-5555
Practice Address - Fax:510-796-7044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV07588Medicare UPIN
CADC0290010Medicare ID - Type UnspecifiedMEDICARE