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General NPI Number Information
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NPI Number | 1396078788
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Entity Type | Individual
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Provider Name | VIKRAM DEEPAK BAKHRU M.D., M.B.A.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 8605 SANTA MONICA BLVD # 68379
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone | 888-811-9064
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Fax |
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD # 68379
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone | 888-811-9064
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Fax | 888-553-4757
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301108575
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 127192
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 264416
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD432458
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036.138929
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 51121
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License Number State | AZ
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Taxonomy #7
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D0079723
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 75137
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | C134435
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License Number State | CA
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Taxonomy #10
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME124345
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License Number State | FL
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Taxonomy #11
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2015-01946
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License Number State | NC
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Taxonomy #12
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101258987
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License Number State | VA
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Taxonomy #13
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | C134435
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License Number State | CA
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Taxonomy #14
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 279991-1
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License Number State | NY
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Taxonomy #15
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD043654
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License Number State | DC
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