Provider Demographics
NPI:1750715777
Name:KAHLON, NAVTEJPAL SINGH (MD)
Entity type:Individual
Prefix:
First Name:NAVTEJPAL
Middle Name:SINGH
Last Name:KAHLON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1596 POPPY HILLS LN
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95377-8701
Mailing Address - Country:US
Mailing Address - Phone:925-216-3229
Mailing Address - Fax:866-289-7889
Practice Address - Street 1:1596 POPPY HILLS LN
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95377-8701
Practice Address - Country:US
Practice Address - Phone:925-216-3229
Practice Address - Fax:866-289-7889
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI61187-20208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice