Healthcare Provider Details

I. General information

NPI: 1184814352
Provider Name (Legal Business Name): GANESH KRIPAPURI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26135 CARMEL RANCHO BLVD STE 23B
CARMEL CA
93923-8707
US

IV. Provider business mailing address

26135 CARMEL RANCHO BLVD STE 23B
CARMEL CA
93923-8707
US

V. Phone/Fax

Practice location:
  • Phone: 831-625-6159
  • Fax: 831-625-1110
Mailing address:
  • Phone: 831-625-6159
  • Fax: 831-625-1110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number17001568A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA4094
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: