Provider Demographics
NPI:1568439362
Name:RAI, KULJEET SINGH (MD)
Entity type:Individual
Prefix:
First Name:KULJEET
Middle Name:SINGH
Last Name:RAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15000 LOS GATOS BLVD STE 7
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2017
Mailing Address - Country:US
Mailing Address - Phone:408-356-3576
Mailing Address - Fax:408-356-5728
Practice Address - Street 1:15000 LOS GATOS BLVD STE 7
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2017
Practice Address - Country:US
Practice Address - Phone:408-356-3576
Practice Address - Fax:408-356-5728
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60657207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE96984Medicare UPIN