Basic Information
| Provider Information | |||||||||
| NPI: | 1306209937 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JAKHARIA | ||||||||
| FirstName: | KUNAL | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | CB# 7020, 130 MASON ROAD BIOINFORMATICS BUILDING | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275990001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199662533 | ||||||||
| FaxNumber: | 9199667013 | ||||||||
| Practice Location | |||||||||
| Address1: | CB# 7020, 130 MASON ROAD BIOINFORMATICS BUILDING | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275993017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199662533 | ||||||||
| FaxNumber: | 9199667013 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2016 | ||||||||
| LastUpdateDate: | 09/09/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/09/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | 2019-02918 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.