Healthcare Provider Details

I. General information

NPI: 1639372519
Provider Name (Legal Business Name): KLUPSTEEN PATEL AND KHURANA MDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 03/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 34TH STREET BAKERSFIELD MEMORIAL HOSPITAL
BAKERSFIELD CA
93301-2237
US

IV. Provider business mailing address

P.O. BOX 2147
BAKERSFIELD CA
93303-2147
US

V. Phone/Fax

Practice location:
  • Phone: 661-327-4647
  • Fax:
Mailing address:
  • Phone: 661-873-0601
  • Fax: 661-872-7301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA49606
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA49606
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA93172
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberC42623
License Number StateCA

VIII. Authorized Official

Name: SUDHIR B. PATEL
Title or Position: OWNER
Credential: MD
Phone: 661-873-0601