Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kulendu Ghanshyam Vasavda, MD

Individual provider Family Medicine Physician · NPI 1245443654

Dr. Kulendu Ghanshyam Vasavda, MD is a General Practice in Stockton, California. Qualified in 1981, 45 years ago. Offers telehealth. Licensed in California.

Years since qualifying
45
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

221 Tuxedo Ct Ste C
Stockton, CA 95204-5261
Phone: (209) 941-0149
Fax: (209) 941-2550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A49048 (CA)

Record details

NPI number1245443654
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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