Hamchand Kolli MD Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A56066 Issued in CA

Legal business name

HAMCHAND KOLLI MD INC.

Practice address

1278 E Latham Ave
Hemet, CA 92543-4445

Phone

(951) 925-6625

NPI assigned

May 13, 2013

Organization subpart

Yes

Parent organization

MEDVANTX,INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Hamchand Kolli MD Inc. Doing business as

Tax ID family

Hamchand Kolli MD Inc2 organizations share this tax ID, including this one

Part of

Tri - State Medical Group Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hemchand Kolli, MD Inc

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1760502322
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hemchand Kolli, M.D

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1669552485
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1275979650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 E LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434445",
            "telephone_number": "951-925-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMCHAND KOLLI MD INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX,INC.",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A56066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamchand Kolli MD Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee Hagans
• Uzma Tauseef Haider, M.D.
• Kelly Halderman, MD
• Misty Hale
• Elijah Hall
• Deidra Hampton
• Hamptons Manor 1
• Hamptons Manor 3
• Rija Hamza
• Sang Y. Han, L.AC

• Non-Pharmacy Dispensing Site in Hemet, CA
• Providers in Hemet, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.