Healthcare Provider Details

I. General information

NPI: 1235629338
Provider Name (Legal Business Name): CAREWELL MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 05/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18419 US HIGHWAY 18 STE 1
APPLE VALLEY CA
92307-2333
US

IV. Provider business mailing address

18419 US HIGHWAY 18 STE 1
APPLE VALLEY CA
92307-2333
US

V. Phone/Fax

Practice location:
  • Phone: 760-524-8987
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA132960
License Number StateCA

VIII. Authorized Official

Name: DIRAJ KARNANI
Title or Position: OWNER
Credential: MD
Phone: 760-524-8987