Healthcare Provider Details

I. General information

NPI: 1891879292
Provider Name (Legal Business Name): HARI CHAND PURI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2243 MOWRY AVE STE F
FREMONT CA
94538-1630
US

IV. Provider business mailing address

1 PURI CT
PLEASANTON CA
94588-4820
US

V. Phone/Fax

Practice location:
  • Phone: 510-797-7766
  • Fax: 510-797-0595
Mailing address:
  • Phone: 925-484-3366
  • Fax: 925-484-3769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA36386
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License NumberA36386
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: