Healthcare Provider Details

I. General information

NPI: 1831183649
Provider Name (Legal Business Name): AAKASH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 PARKSIDE DR
FREMONT CA
94536-5326
US

IV. Provider business mailing address

2100 PARKSIDE DR
FREMONT CA
94536-5326
US

V. Phone/Fax

Practice location:
  • Phone: 510-797-5300
  • Fax: 510-797-2832
Mailing address:
  • Phone: 510-797-5300
  • Fax: 510-797-2832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number230-0391-6
License Number StateCA

VIII. Authorized Official

Name: MRS. PREMA THEKKEK
Title or Position: VICE-PRESIDENT
Credential:
Phone: 707-449-3400