Basic Information
Provider Information
NPI: 1629237045
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUNHI VEEDU
FirstName: HARI PRASAD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 976
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933020976
CountryCode: US
TelephoneNumber: 2169041127
FaxNumber:  
Practice Location
Address1: 3838 SAN DIMAS ST STE A140
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933011151
CountryCode: US
TelephoneNumber: 6616327126
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/02/2008
LastUpdateDate: 02/25/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400XA133140CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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