Khushal a Stanisai, MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A30298 Issued in CA

Legal business name

KHUSHAL A STANISAI, MD INC

Practice address

10408 Industrial Cir
Redlands, CA 92374-4548

Phone

(909) 796-0363

Fax

(909) 796-0762

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mary E Lamoureux

Title

Administrator

Phone

(909) 796-7803

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1972641124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10408 INDUSTRIAL CIR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744548",
            "telephone_number": "909-796-0363",
            "fax_number": "909-796-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10408 INDUSTRIAL CIR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744548",
            "telephone_number": "909-796-0363",
            "fax_number": "909-796-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHUSHAL A STANISAI, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "LAMOUREUX",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-796-7803"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A30298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A302982",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110089935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golandam Khayef, R.D.
• Balram S Khehra, MD
• KHM Pharmaceutical Inc
• Marine Khojabekyan, M.D.
• Mario Khong, DNP
• Linh H. Khuu, M.D.
• Jan Kielmann, MS, CNS, IFMCP
• Sheila Elizabeth Killingsworth-Thomas, CADC-I
• Eliot Kim
• Henry Kim, DDS

• All providers in Redlands, CA
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.