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General NPI Number Information
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NPI Number | 1003058637
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Entity Type | Organization
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Legal Business Name | JANARDHAN GRANDHE MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 6401 TRUXTUN AVE SUITE B
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0613
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Country | US
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Telephone | 661-327-9300
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Fax | 661-327-9301
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Provider Business Mailing Address
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Address Line | 6401 TRUXTUN AVE SUITE B
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0613
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Country | US
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Telephone | 661-327-9300
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Fax | 661-327-9301
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUNDEEP GRANDHE
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Credential | M.D
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Telephone | 661-529-5558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A52798
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License Number State | CA
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