Healthcare Provider Details

I. General information

NPI: 1255637997
Provider Name (Legal Business Name): RASHA A KURAN, M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2011
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 H ST STE A
BAKERSFIELD CA
93301-1900
US

IV. Provider business mailing address

PO BOX 9213
BAKERSFIELD CA
93389-9213
US

V. Phone/Fax

Practice location:
  • Phone: 661-322-9200
  • Fax: 661-322-9201
Mailing address:
  • Phone: 661-869-2600
  • Fax: 661-869-2003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA79950
License Number StateCA

VIII. Authorized Official

Name: RASHA A KURAN
Title or Position: OWNER
Credential: MD
Phone: 661-322-9200